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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEX RYAN KEHOE LCSW
NPI 1508589615
Social Worker - Clinical in Hauppauge, NY

Active since September 22, 2022PECOS Enrolled
50 LASER CT, HAUPPAUGE, NY 11788(516) 788-4586 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 7, 2026, Apr 28, 2026, Sep 30, 2024 and 1 more (4 updates tracked since 2022).

About Alex Ryan Kehoe Lcsw NPPES

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

ALEX RYAN KEHOE LCSW (NPI 1508589615) is an individual clinical provider in Hauppauge, New York, licensed in New York (102883) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Deer Park.

NPPES Registry Identity

NPI1508589615
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameALEX RYAN KEHOECredential: LCSW
Location Address50 LASER CTHauppauge, NY 11788-3958
Mailing Address367 Baldwin PathDeer Park, NY 11729-1414 · (631) 838-9105
Phone(516) 788-4586
Sole ProprietorNo
Enumeration DateSeptember 22, 2022
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1508589615 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 · 102883
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.
50 LASER CT, Hauppauge, NY 11788
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Secondary Practice Location 1

Location 1367 Baldwin PathDeer Park, NY 11729-1414 · Phone (631) 838-9105

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex Ryan Kehoe Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11788 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 20

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

MS. SUSAN DRECHSLER JACOBS LCSW
Case Manager/Care Coordinator
50 LASER CT
HAUPPAUGE, NY 11788
Suffolk County (631) 853-2323
MRS. ALLISON JOY CONNOR LCSW-R
Social Worker (Clinical)
50 LASER CT
HAUPPAUGE, NY 11788
Suffolk County (631) 853-2274
SHEILA M VENTRICE MS
Case Manager/Care Coordinator
50 LASER CT
HAUPPAUGE, NY 11788
Suffolk County (631) 853-2334
COUNTY OF SUFFOLK
Early Intervention Provider Agency
50 LASER CT
HAUPPAUGE, NY 11788
Suffolk County (631) 853-2332
MS. GERI MENDELSON
Case Manager/Care Coordinator
50 LASER CT
HAUPPAUGE, NY 11788
Suffolk County (631) 853-2322
MRS. DEBORAH FRALLICCIARDI M.S. EDUCATION
Case Manager/Care Coordinator
50 LASER CT
HAUPPAUGE, NY 11788
Suffolk County (631) 853-2342
WILSON MONTOYA MSW
Social Worker
50 LASER CT
HAUPPAUGE, NY 11788
Suffolk County (631) 853-2272
MS. ARLENE MARIE HOLMES
Case Manager/Care Coordinator
50 LASER CT
HAUPPAUGE, NY 11788
Suffolk County (631) 853-2134

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 Alex Kehoe's NPI number?

The NPI number for Alex Kehoe is 1508589615. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is Alex Kehoe located?

Alex Kehoe practices at 50 Laser Ct, Hauppauge, NY 11788. The listed phone number is (516) 788-4586.

What is Alex Kehoe's specialty?

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

Is Alex Kehoe enrolled in Medicare?

Yes. Alex Kehoe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alex Kehoe was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.