Laurel Pelzek, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R055517-1 Issued in NY

Practice address

465 Broadway
Kingston, NY 12401-4627

Phone

(845) 340-0244

Fax

(845) 340-0141

NPI assigned

Sep 30, 2010

Last updated

Mar 14, 2017By 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 1

Addresses

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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1902115546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014627",
            "telephone_number": "845-340-0244",
            "fax_number": "845-340-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014627",
            "telephone_number": "845-340-0244",
            "fax_number": "845-340-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZEK",
        "first_name": "LAUREL",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055517-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mukesh Patel, DDS
• Shalin Jitendra Patel, M.D.
• Patricia D Payette
• Amber L Pease, RN
• Pediatric Dentistry of Kingston PLLC (Pediatric Dentistry of Kingston)
• People Incorporated
• Valerie Percy, CCC-SLP
• Ayse Pere, N.P.
• Divine Emilio Perez-Ferreira
• Rafael Perez, LCSWR

• Clinical Social Worker in Kingston, NY
• Providers in Kingston, 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 Mar 14, 2017; 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.