Kenneth Howard Fliesser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077582 Issued in NY

Practice address

104 Bellows LN
New City, NY 10956-2439

Phone

(845) 638-1987

Fax

(845) 678-1889

NPI assigned

Jun 27, 2012

Sex

Male

Sole proprietor

Yes

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, 2001

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Kenneth Fliesser LCSW PC

  • Adult Mental Health Clinic/Center
  • Pomona, NY
  • NPI 1497118350
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1255695037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BELLOWS LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562439",
            "telephone_number": "845-638-1987",
            "fax_number": "845-678-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BELLOWS LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562439",
            "telephone_number": "845-638-1987",
            "fax_number": "845-678-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIESSER",
        "first_name": "KENNETH",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia N Fitzsimons
• Donna Flahive, SPECIAL EDUCATOR
• Denise D Fleisher, OTR/L
• Suzanne Fleming, RN
• Fletcher J Johnson MD PC
• Holly Nicole Flodin
• Judy Lynn Florsheim
• June Forman
• Rebecca Forman, O.D.
• Forte Physical Therapy PLLC

• Clinical Social Worker in New City, NY
• Providers in New City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.