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KELLE M KENZIK LCSW
NPI 1578034336
Social Worker - Clinical in Ronkonkoma, NY

Active since December 05, 2018
2009 BODANYI PL, RONKONKOMA, NY 11779(631) 621-8485 Get Directions Write a Review

NPPES record last updated: November 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 27, 2021, Mar 4, 2020, Dec 5, 2018 (3 updates tracked since 2018).

About Kelle M Kenzik Lcsw NPPES

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

KELLE M KENZIK LCSW (NPI 1578034336) is an individual clinical provider in Ronkonkoma, New York, licensed in New York (089375) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1578034336
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLE M KENZIKCredential: LCSW
Location Address2009 BODANYI PLRonkonkoma, NY 11779-6531
Mailing Address2009 Bodanyi PlRonkonkoma, NY 11779-6531 · (631) 621-8485
Phone(631) 621-8485
Sole ProprietorNo
Enumeration DateDecember 5, 2018
Last NPPES UpdateNovember 27, 20213 updates tracked since enumeration
NPPES CertifiedNovember 27, 2021
✔ NPI 1578034336 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 · 089375
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.
2009 BODANYI PL, Ronkonkoma, NY 11779
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Kelle Kenzik's NPI number?

The NPI number for Kelle Kenzik is 1578034336. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Where is Kelle Kenzik located?

Kelle Kenzik practices at 2009 Bodanyi Pl, Ronkonkoma, NY 11779. The listed phone number is (631) 621-8485.

What is Kelle Kenzik's specialty?

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

What insurance does Kelle Kenzik accept?

Health plans from Providence Health Plan list Kelle Kenzik 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 Kelle Kenzik was last updated on November 27, 2021. 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.