Active NPI
Kevfoy Lenroy Fletcher, MASTERS IN SOCIAL WK
- Counselor
- Smithtown, NY
National Provider Identifier
1003242629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 11 Route 111
Smithtown, NY 11787-3739 - Phone
- (631) 920-8303
- Fax
- (631) 920-8463
- NPI assigned
- Sep 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
11 Route 111
Smithtown, NY 11787-3739
Mailing address
44 Wellington Rd
Elmont, NY 11003-1414
Phone (516) 574-3634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1003242629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 WELLINGTON RD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031414",
"telephone_number": "516-574-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ROUTE 111",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873739",
"telephone_number": "631-920-8303",
"fax_number": "631-920-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "KEVFOY",
"middle_name": "LENROY",
"name_prefix": "Mr.",
"credential": "MASTERS IN SOCIAL WK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-16",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.