Jennifer Lynn Kelsch, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077692 Issued in NY

Practice address

168 North Ocean Avenue
Patchogue, NY 11772

Phone

(631) 875-3549

Fax

(631) 588-8901

NPI assigned

Apr 7, 2011

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)

Enrolled

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Leah Topek-Walker, LCSW P.C.

  • Clinical Social Worker
  • Holbrook, NY
  • NPI 1538603410
  NPD (past)
• Maria Kasdan Nurse Practitioner of Pediatrics PLLC

  • Pediatric Nurse Practitioner
  • Patchogue, NY
  • NPI 1386103802
  NPD (past)

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1346530680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 NORTH OCEAN AVENUE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-875-3549",
            "fax_number": "631-588-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 NORTH OCEAN AVENUE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-875-3549",
            "fax_number": "631-588-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSCH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kawko
• Mei Yuk Kee, MD
• Jennifer Keegan
• Julia Louise Keene, PHD, BCBA-D, LBA
• Kaitlyn Kelly, MT-BC, LCAT
• William Keltz, DPT
• Jenna Joy Kennedy, DPT
• Amanda Kern
• Lydia L Kessel, OTD, OTR/L
• Emily Rose Kettell, LMSW

• Clinical Social Worker in Patchogue, NY
• Providers in Patchogue, 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 Oct 18, 2017; 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.