Michael Koblensky, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW025602 Issued in PA

Practice address

1656 W Main St
Ephrata, PA 17522-1103

Phone

(717) 288-7638

NPI assigned

Jun 29, 2015

Sex

Male

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

Locations

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.

• Cardinal Dove Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ephrata, PA
  • NPI 1376428516
  NPD Authorized official

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1629450408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 AUTUMN BLAZE WAY",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222730",
            "telephone_number": "610-350-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 W MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221103",
            "telephone_number": "717-288-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBLENSKY",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Jason Kmieczak, MSPT
• Jamie Knarr, C.R.N.P.
• Knead It Massage & Bodyworks
• Kneadit Massage & Bodyworks LLC.
• Knots in Knead, LLC
• Traci M Kohl, MD
• Donna Breech Kost, D.C.
• Douglas G Kramer
• Emily Kramer, BA
• Steven W Kreamer, DPM

• Clinical Social Worker in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.