Andrea Michelle Keltos, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

113902 Issued in NY

Practice address

6500 Jericho Tpke Ste 217
Commack, NY 11725-2907

Phone

(631) 543-8877

NPI assigned

Apr 8, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Solutions Counseling LCSW PLLC

  • Clinical Social Worker
  • Commack, NY
  • NPI 1467868356
  NPD (past)

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1174376347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 EXECUTIVE DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882116",
            "telephone_number": "631-335-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 JERICHO TPKE STE 217",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252907",
            "telephone_number": "631-543-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTOS",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Kelly, P.A.
• Dejon Paul Kelly
• Laura Jean Kelly, RD, CSO, CDN
• Maureen Jeanette Kelly, P.A.
• Stephen Patrick Kelly, COTA
• Bethany H Kennedy, ANP, MSN, RN
• Gregory Wayne Kennedy, DDS
• Regina Kent, OTR/L
• Shannon L Kerekes, MS OTR/L
• Alyssa Danielle Kerr, PA-C

• Social Worker in Commack, NY
• Providers in Commack, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.