Kimberly Lynn Andrejkovics, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

083045 Issued in NY

Practice address

346 Montauk Hwy Ste 1a
Moriches, NY 11955

Phone

(631) 281-4461

Fax

(631) 281-4258

NPI assigned

Apr 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Colonial Youth & Family Services

  • Community/Behavioral Health Agency
  • Mastic, NY
  • NPI 1972853547
  NPD (past)

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1386935948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 MONTAUK HWY STE 1A",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551439",
            "telephone_number": "631-281-4461",
            "fax_number": "631-281-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 MONTAUK HWY STE 1A",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "11955",
            "telephone_number": "631-281-4461",
            "fax_number": "631-281-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREJKOVICS",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "083572",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03431225",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aj Acupunture & Chiropractic PLLC
• Carrolyn Sherrie Amada
• Philip Henry Antz
• Danielle Michelle Baker, D.D.S.
• Jeremy Beck
• Jordan Biscardi, L.AC.
• Renee Carrick

• Clinical Social Worker in Moriches, NY
• Providers in Moriches, 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 Jul 15, 2025; 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.