KC LCSW P.C. NPI 1376315663

NPI Information

  • NPI: 1376315663
  • Provider Name: KC LCSW, P.C.
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 71 ELIZABETH DR
    BETHPAGE, NY
    ZIP 11714
  • Phone: (631) 406-9886

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NPI Details

KC LCSW, P.C. is a clinical social worker in Bethpage, NY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. KC LCSW, P.C. NPI is 1376315663. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

71 ELIZABETH DR
BETHPAGE, NY
ZIP 11714-434
Phone: (631) 406-9886

The provider's authorized official is Kim Callahan .
The authorized official title is Lcsw and has the following contact phone number (631) 406-9886.

The enumeration date for this NPI number is 10/30/2023 and was last updated on 10/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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