Alex Ryan Kehoe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

102883 Issued in NY

Practice address

50 Laser CT
Hauppauge, NY 11788-3958

Phone

(516) 788-4586

NPI assigned

Sep 22, 2022

Sex

Male

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

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.

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1508589615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 BALDWIN PATH",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291414",
            "telephone_number": "631-838-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LASER CT",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883958",
            "telephone_number": "516-788-4586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "367 Baldwin Path",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117291414",
            "country_code": "US",
            "telephone_number": "631-838-9105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "ALEX",
        "middle_name": "RYAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandeep Kaur
• Heloise Alice Kayser, MHC
• Kevin J. Kearney, PSY.D.
• Barbara A Kearns, AUDIOLOGIST
• Paul Henry Keckeisen, PTA
• Cheryl S Kelly, NP
• Lori Ann Kelly, R.N.
• Michael Khalili, MD
• Sumaya Khanfri
• Roger Karl Khouri Jr., MD

• Clinical Social Worker in Hauppauge, NY
• Providers in Hauppauge, 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 7, 2026; 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.