Jennifer Kelsch Licensed Clinical Social Worker PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077692 Issued in NY

Legal business name

JENNIFER KELSCH LICENSED CLINICAL SOCIAL WORKER PC

Practice address

991 Main St
Suite 201
Holbrook, NY 11741-1608

Phone

(631) 875-3549

Fax

(631) 588-8900

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Lynn Kelsch, LCSW-R

Title

Clinical Social Worker

Phone

(631) 875-3549

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Christine Harrison Collins, LMSW

  • Social Worker
  • Holbrook, NY
  • NPI 1649695255
  NPD (past)
• Leah Topek-Walker, LCSW-R

  • Clinical Social Worker
  • Patchogue, NY
  • NPI 1922184662
  NPD (past)

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1609326206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MAIN ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411608",
            "telephone_number": "631-875-3549",
            "fax_number": "631-588-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MAIN ST",
            "address_2": "SUITE 201",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411608",
            "telephone_number": "631-875-3549",
            "fax_number": "631-588-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER KELSCH LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "KELSCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "631-875-3549",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "A400063881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Irving
• Island Wide Home Care Inc
• Rebecca Ashley Jarvis
• Shivam Jauhar, DDS
• Krishnaswamy Jayadevan, DDS
• Christopher J Jerome, RPA-C
• Denise Johns
• Diane Miller Johnson, LCSW
• Russell E Johnson, D.C.
• Jonathan Belmonte PT PLLC

• Clinical Social Worker in Holbrook, NY
• Providers in Holbrook, 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 Oct 6, 2016; 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.