KMW LCSW PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KMW LCSW PLLC

Practice address

2814 Smith Dr
Endicott, NY 13760-2318

Phone

(607) 239-3897

NPI assigned

Jan 20, 2025

Organization subpart

No

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

Authorized official

Name

Kayla Marie Wilson, LCSWNPI 1609471366

Title

Owner

Phone

(607) 759-0145

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kayla Wilson, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1609471366
  NPD Authorized official

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1528879442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 SMITH DR",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137602318",
            "telephone_number": "607-239-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 SMITH DR",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137602318",
            "telephone_number": "607-239-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMW LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-759-0145",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua J Nickels
• Ronald Kane, DDS
• Kathy Ferro Weiss
• Susan Kermidas, LCSW-R
• Alia Almas Khan, M.D.
• Knauf Optical
• Tanya Konefal Kaczynski, FNP-C
• Hillary M Konsuit, LPN
• Sarah Jean Krager
• Pamela B Krolczyk, RPH

• Mental Health Clinic/Center (Including Community Mental Health Center) in Endicott, NY
• Providers in Endicott, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.