Michelle Klinkowize, LMSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

049163-1 Issued in NY

Practice address

255 Executive Dr Ste Ll108
Plainview, NY 11803

Phone

(516) 576-2040

Fax

(516) 576-2131

NPI assigned

Mar 4, 2016

Last updated

Aug 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1912367822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ADDISON PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466802",
            "telephone_number": "646-701-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EXECUTIVE DR STE LL108",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "516-576-2040",
            "fax_number": "516-576-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Addison Pl",
            "address_purpose": "LOCATION",
            "city": "Dix Hills",
            "state": "NY",
            "postal_code": "117466802",
            "country_code": "US",
            "telephone_number": "646-701-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINKOWIZE",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "049163-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marci Kivo
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• Marcy Klein
• Jessica Gail Kleinhaut, CCC-SLP
• Lauren Klinghoffer
• Robert Klugman, M.D.
• Wendy Lauren Knee, M.S. CCC-SLP
• Jason Matthew Kneller
• Ronald Knoll, D.M.D., M.S.
• Ko Medical Rehabilitation, PLLC

• Counselor in Plainview, NY
• Providers in Plainview, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.