Kevin Mehalek, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095225 Issued in NY

Practice address

1751 2ND Ave Ste Az-5
New York, NY 10128-5363

Phone

(914) 342-7547

NPI assigned

Dec 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1740876192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAUJER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112067622",
            "telephone_number": "708-203-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 2ND AVE STE AZ-5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285363",
            "telephone_number": "914-342-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHALEK",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-18",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107064",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Patrick Megiel, CO
• Christina D Megill, RPA-C
• Julia Megirova
• Megumi Omonishi, PH.D., Psychologist, PLLC
• Olga Megwinoff, MD
• Saurabh Mehandru, M.D.
• Nezar Mehanna, MD
• Amela Mehanovic, PHARMD
• Mikayla Rose Mehling, PT, DPT
• Arlene Mehlman, LCSW

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Apr 17, 2023; 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.