Basic Information
| Provider Information | |||||||||
| NPI: | 1417271412 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BAINS | ||||||||
| FirstName: | DENISE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BAINS-TURNER | ||||||||
| OtherFirstName: | DENISE | ||||||||
| OtherMiddleName: | MARIE | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | LCSW | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | ROCHESTER PSYCHIATRIC CENTER ONTRACKNY | ||||||||
| Address2: | 1111 ELMWOOD AVENUE | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5856230198 | ||||||||
| FaxNumber: | 5852411300 | ||||||||
| Practice Location | |||||||||
| Address1: | 1111 ELMWOOD AVE | ||||||||
| Address2: | BLDG. 16 | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146203005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5852411200 | ||||||||
| FaxNumber: | 5852411273 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2010 | ||||||||
| LastUpdateDate: | 06/26/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 072579-1 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.