KENSHO PSYCHOTHERAPY, LCSW, PLLC
NPI 1205391018
Social Worker - Clinical in Lynbrook, NY

Active since February 06, 2019
381 SUNRISE HWY STE 602, LYNBROOK, NY 11563(347) 868-7813 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2021, Feb 6, 2019 (2 updates tracked since 2019).

About Kensho Psychotherapy, Lcsw, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENSHO PSYCHOTHERAPY, LCSW, PLLC (NPI 1205391018) is a healthcare organization registered as a clinical in Lynbrook, New York and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Valley Stream and lists Amanda Fludd, Owner, as its authorized official.

NPPES Registry Identity

NPI1205391018
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKENSHO PSYCHOTHERAPY, LCSW, PLLC
Location Address381 SUNRISE HWY STE 602Lynbrook, NY 11563-3006
Mailing Address14410 256th StRosedale, NY 11422-2543 · (718) 208-3914
Organization SubpartNo
Authorized OfficialAmanda FluddOwner · (718) 208-3914
Enumeration DateFebruary 6, 2019
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
NPI 1205391018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

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.

381 SUNRISE HWY STE 602, Lynbrook, NY 11563

Secondary Practice Location 1

Location 141A W Merrick Rd Ste 2Valley Stream, NY 11580-5708 · Phone (347) 868-7813

Other Identifiers 2

Other938144NY · Beacon
Medicaid1184822587NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
381 SUNRISE HWY STE 602
LYNBROOK, NY 11563
Clinic/Center (Mental Health (Including Community Mental Health Center))
381 SUNRISE HWY STE 602
LYNBROOK, NY 11563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kensho Psychotherapy, Lcsw, PLLC's NPI number?

The NPI number for Kensho Psychotherapy, Lcsw, PLLC is 1205391018. It was assigned to this organization in the NPPES registry on February 6, 2019.

Where is Kensho Psychotherapy, Lcsw, PLLC located?

Kensho Psychotherapy, Lcsw, PLLC is located at 381 Sunrise Hwy Ste 602, Lynbrook, NY 11563. The listed phone number is (347) 868-7813.

What is Kensho Psychotherapy, Lcsw, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kensho Psychotherapy, Lcsw, PLLC was last updated on June 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.