Kelvin Banegas, LCSW
Individual provider Active NPI Clinical Social Worker · Bayville, NJ
NPI 1194415489 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1194415489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC06503700 (NJ)
- Practice address
- 19 Prairie LN
Bayville, NJ 08721-2249 - Phone
- (516) 469-2135
- NPI assigned
- May 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19 Prairie LN
Bayville, NJ 08721-2249
Phone (516) 469-2135
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251222003337 | NJ | Practitioner - Clinical Social Worker | 2062907561 | Practice locations: Bayville, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06503700 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelvin Banegas LCSW LLC | Mental Health | Current |
Accepting new patients |
| Letapel Inc. | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06503700 | NJ | Yes |
Addresses
Primary practice location
19 Prairie LN
Bayville, NJ 08721-2249
Mailing address
19 Prairie LN
Bayville, NJ 08721-2249
Phone (516) 469-2135
Other providers in Bayville, NJ
- Grant Arcomano
- Megan Armbruster
- Adebayo M Arowolo
- Association for the Multiple Impaired Blind, Inc.
- Atlantic Family Wellness Center LLC
- James C Barclay Jr.
- Elizabeth L Barton
- Shervanna Basdeo
- Samantha Basilicata
- Linda Bass
All providers in Bayville, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.