Individual provider Active NPI

Zhaniizha Elaivii Khanii Kevii, LCSW

  • Clinical Social Worker
  • Liberty, NY
National Provider Identifier
1114958386
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
034777 Issued in NY
Practice address
20 Community Lane
Liberty, NY 12754-0716
Phone
(845) 292-8770
Fax
(845) 292-4206
NPI assigned
Jul 6, 2006
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 034777 NY Primary

Addresses

Primary practice location

20 Community Lane
Liberty, NY 12754-0716

Mailing address

PO Box 97
Hankins, NY 12741-0097
Phone (845) 887-5289

Other identifiers 1

IdentifierTypeStateIssuer
00398370MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090526000036 NY Practitioner - Clinical Social Worker 3375692247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of SullivanGroup PAC ID 0143114439, 2 clinicians

Practice addresses (Care Compare)

20 Community Lane Liberty Clinic
Sullivan County Comm MNTL HLTH
Liberty, NY 12754-0716
Phone (845) 292-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO347771NYMDSocial Worker
034777NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sullivan Social Worker CurrentSince Apr 8, 2022 Accepting new patients
County of Sullivan CurrentSince Apr 8, 2022 Accepting new patients
Comprehensive Counseling LCSW, PLLC Clinical CurrentSince Oct 1, 2022 Accepting new patients

Locations

2 Main St
Ste 2A
Plymouth, MA 02360

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

20 Community Ln
Liberty, NY 12754
Phone (845) 292-8770

20 Community Ln
#716
Liberty, NY 12754
Phone (845) 292-8770

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1114958386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "HANKINS",
            "state": "NY",
            "postal_code": "127410097",
            "telephone_number": "845-887-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY LANE",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127540716",
            "telephone_number": "845-292-8770",
            "fax_number": "845-292-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVII",
        "first_name": "ZHANIIZHA",
        "middle_name": "ELAIVII KHANII",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "034777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00398370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, NY

Sources for this page

Verify at the official NPI Registry.