Patricia Wladyka Kelton, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R023792 Issued in NY

Practice address

1005 Glen Cove Ave
Glen Head, NY 11545-1585

Phone

(516) 676-4348

NPI assigned

Oct 30, 2006

Last updated

Oct 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Patricia Kelton Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1831275163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GARFIELD AVENUE",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451513",
            "telephone_number": "516-674-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 GLEN COVE AVE",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451585",
            "telephone_number": "516-676-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLADYKA KELTON",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R023792",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6262654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "KELTON",
            "prefix": "MS.",
            "credential": "MSW LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Darci Susan Weissbrot, RD
• Alexandra Weissmann
• Jennifer Marie White, M.S., CCC-SLP
• Daniel Elliott Whitely, DIPL.
• Willow Park Medical Health PC
• Kevin Wong
• Sherry Xie
• Gabriella Yeganeh, PA-C
• Steven A Yellin, PHD
• Helen H Yu, MD

• Clinical Social Worker in Glen Head, NY
• Providers in Glen Head, 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 16, 2009; 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.