Kellee Simone Barrett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091462 Issued in NY

Practice address

8670 Francis Lewis Blvd Apt B43
Queens Village, NY 11427-2815

Phone

(718) 479-1506

NPI assigned

Jun 4, 2021

Sex

Female

Sole proprietor

No

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.

• KB'S Lighthouse Counseling Services LCSW PLLC

  • Clinical Social Worker
  • Queens Village, NY
  • NPI 1629938188
  NPD Authorized official

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1851968317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 FRANCIS LEWIS BLVD APT B43",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 FRANCIS LEWIS BLVD APT B43",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272815",
            "telephone_number": "718-479-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "KELLEE",
        "middle_name": "SIMONE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna M Barberii, MSW
• Crystal Barclay, LPN
• Emanuel Joshua Barclay, M.D.
• Dorothy Baron
• Andra Gillian Barrantes, LPN
• Ruthnie Degand Barringer
• Mistura Bashiru, LPN
• Sibi Joel Basi
• Batayin Inc
• Anzhelika Baturov

• Clinical Social Worker in Queens Village, NY
• Providers in Queens Village, 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 Jun 4, 2021; 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.