KATHLEEN TEDESCO LCSW
NPI 1346617768
Social Worker - Clinical in Staten Island, NY

Active since September 02, 2015PECOS EnrolledAccepts Medicare Assignment
2381 HYLAN BLVD, STATEN ISLAND, NY 10306(800) 277-4680 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Tedesco Lcsw NPPES

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

KATHLEEN TEDESCO LCSW (NPI 1346617768) is an individual clinical provider in Staten Island, New York, licensed in New York (093002) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1346617768
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN TEDESCOCredential: LCSW
Location Address2381 HYLAN BLVDStaten Island, NY 10306-3122
Mailing Address9 Tralee RdHazlet, NJ 07730-1123 · (917) 539-0553
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 2, 2015
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1346617768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 093002
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 095051 (NY)
2381 HYLAN BLVD, Staten Island, NY 10306

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen Tedesco Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890181291
PECOS Enrollment IDI20220412002522
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10306 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.

Other Providers at the Same Location NPPES 17

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

Social Worker
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Counselor (Mental Health)
2381 HYLAN BLVD, SUITE 12
STATEN ISLAND, NY 10306
Social Worker
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Social Worker
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Social Worker
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Social Worker (Clinical)
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Social Worker (Clinical)
2381 HYLAN BLVD
STATEN ISLAND, NY 10306
Social Worker
2381 HYLAN BLVD
STATEN ISLAND, NY 10306

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 Kathleen Tedesco's NPI number?

The NPI number for Kathleen Tedesco is 1346617768. It was assigned to this individual provider in the NPPES registry on September 2, 2015.

Where is Kathleen Tedesco located?

Kathleen Tedesco practices at 2381 Hylan Blvd, Staten Island, NY 10306. The listed phone number is (800) 277-4680.

What is Kathleen Tedesco's specialty?

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

Is Kathleen Tedesco enrolled in Medicare?

Yes. Kathleen Tedesco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Tedesco accept?

Health plans from Providence Health Plan list Kathleen Tedesco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Tedesco was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.