Healthcare Provider Details

I. General information

NPI: 1356065619
Provider Name (Legal Business Name): HEATHER LEIGH KESSLER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 CLINTON ST
BINGHAMTON NY
13905-2212
US

IV. Provider business mailing address

114 CLINTON ST
BINGHAMTON NY
13905-2212
US

V. Phone/Fax

Practice location:
  • Phone: 607-217-0066
  • Fax:
Mailing address:
  • Phone: 607-217-0066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103581
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: