MR. KENNETH HOWARD FLIESSER LCSW
NPI 1255695037
Social Worker - Clinical in New City, NY

Active since June 27, 2012PECOS Enrolled
104 BELLOWS LN, NEW CITY, NY 10956(845) 638-1987(845) 678-1889 Get Directions Write a Review

NPPES record last updated: June 21, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Kenneth Howard Fliesser Lcsw NPPES

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

MR. KENNETH HOWARD FLIESSER LCSW (NPI 1255695037) is an individual clinical provider in New City, New York, licensed in New York (077582) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1255695037
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KENNETH HOWARD FLIESSERCredential: LCSW
Location Address104 BELLOWS LNNew City, NY 10956-2439
Mailing Address104 Bellows LnNew City, NY 10956-2439 · (845) 638-1987 · Fax (845) 678-1889
Fax(845) 678-1889
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJune 27, 2012
Last NPPES UpdateJune 21, 2013
✔ NPI 1255695037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 077582
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.
104 BELLOWS LN, New City, NY 10956

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth Howard Fliesser Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880840982
PECOS Enrollment IDI20120806000345
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Fliesser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adult Mental Health
978 ROUTE 45
Pomona, NY 10970
  • Reassigned Medicare billing, New York enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
598 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10956 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kenneth Fliesser's NPI number?

The NPI number for Kenneth Fliesser is 1255695037. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Kenneth Fliesser located?

Kenneth Fliesser practices at 104 Bellows Ln, New City, NY 10956. The listed phone number is (845) 638-1987.

What is Kenneth Fliesser's specialty?

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

Is Kenneth Fliesser enrolled in Medicare?

Yes. Kenneth Fliesser is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Fliesser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Fliesser reassigns Medicare benefits to Kenneth Fliesser Lcsw PC (Pomona, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Fliesser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Fliesser was last updated on June 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.