Kelly Kolnick, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

76 Broad St Ste 1
Schuylerville, NY 12871-1301

Phone

(518) 507-6122

Fax

(518) 507-6205

NPI assigned

Jul 10, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Weve Got You LCSW, P.L.L.C.

  • Clinical Social Worker
  • Schuylerville, NY
  • NPI 1235709197

  Clinical, NY

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1104232164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BROAD ST",
            "city": "SCHUYLERVILLE",
            "state": "NY",
            "postal_code": "128711301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BROAD ST STE 1",
            "city": "SCHUYLERVILLE",
            "state": "NY",
            "postal_code": "128711301",
            "telephone_number": "518-507-6122",
            "fax_number": "518-507-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLNICK",
        "first_name": "KELLY",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Beth Grimes, R.N.
• Bruce Harro, M.D.
• Stefanie Johnson, PT
• Deborah Kelly
• Kristen Marie Klein, CNM. LM
• Tara L Lafave
• Jason Lambert, PT
• Tara Letzring
• Wendy Lukas, CDN
• Sharon D Mattsson, LCSW

• All providers in Schuylerville, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.