Kenneth Fliesser LCSW PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

076582 Issued in NY

Legal business name

KENNETH FLIESSER LCSW PC

Practice address

978 Route 45
Pomona, NY 10970-3521

Phone

(845) 709-8938

Fax

(845) 678-1889

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Howard Fliesser, LCSWNPI 1255695037

Title

President/Treasurer

Phone

(845) 709-8938

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Howard Fliesser, LCSW

  • Clinical Social Worker
  • New City, NY
  • NPI 1255695037
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1497118350",
    "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": "845-709-8938",
            "fax_number": "845-678-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 ROUTE 45",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703521",
            "telephone_number": "845-709-8938",
            "fax_number": "845-678-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH FLIESSER LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "FLIESSER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "845-709-8938",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "076582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chana Kaufman
• Fun Yu Kay, PT
• Kathleen Keane, LCSW
• Jonathan Keigher, PH.D.
• Pinchos Kempler, LMHC
• Sonia Belliappa Kern, M.D.
• Alireza Mahyar Khavari, DDS
• Mary Kilbride, MA
• Lisa Kirk, LCSW
• Shira Kirshblum

• Adult Mental Health Clinic/Center in Pomona, NY
• Providers in Pomona, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.