Kelly Marie Iodice, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73-054959 Issued in NY

Practice address

825 Westlake Dr
Thornwood, NY 10594-1945

Phone

(914) 769-8540

NPI assigned

Dec 16, 2011

Sex

Female

Sole proprietor

Yes

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)

Not 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.

• Mt. Pleasant Central School District

  • Local Education Agency (LEA)
  • Thornwood, NY
  • NPI 1508913641
  NPD (past)

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1578832879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WESTLAKE DR",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941945",
            "telephone_number": "914-769-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WESTLAKE DR",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941945",
            "telephone_number": "914-769-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IODICE",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73-054959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Theresa Grillo, LICENSED PRACTICAL N
• Toni Marie Grosso, M.S. ED
• Tiffany Marie Guglielmi, PA-C
• Rebecca A Hanson, SLP
• Ellen Patricia Huvane
• Gregory William Jew
• Andrea Kaiser, OD
• Vanessa Kalle, NYS CERT SWD B-2
• Catalina Andrea Kenny
• Isidora Larosa

• Clinical Social Worker in Thornwood, NY
• Providers in Thornwood, 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 Dec 16, 2011; 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.