MR. KENNETH RUSSELL WILEY LCSW
NPI 1710918172
Social Worker in Liberty, NY

Active since July 05, 2006
20 COMMUNITY LANE, LIBERTY, NY 12754(845) 292-8770(845) 292-4206 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Russell Wiley Lcsw NPPES

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

MR. KENNETH RUSSELL WILEY LCSW (NPI 1710918172) is an individual social worker in Liberty, New York, licensed in New York (RO148631) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710918172
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. KENNETH RUSSELL WILEYCredential: LCSW
Location Address20 COMMUNITY LANELiberty, NY 12754-2741
Mailing Address11 Old Loomis RdLiberty, NY 12754-2741 · (845) 292-5895 · Fax (845) 292-4206
Fax(845) 292-4206
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1710918172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in NY · RO148631
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
20 COMMUNITY LANE, Liberty, NY 12754

Other Identifiers 1

Medicaid00398370NY

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
20 COMMUNITY LANE
LIBERTY, NY 12754
Registered Nurse
20 COMMUNITY LANE
LIBERTY, NY 12754
Social Worker
20 COMMUNITY LANE
LIBERTY, NY 12754
Registered Nurse
20 COMMUNITY LANE
LIBERTY, NY 12754
Social Worker (Clinical)
20 COMMUNITY LANE
LIBERTY, NY 12754
Social Worker
20 COMMUNITY LANE
LIBERTY, NY 12754
Social Worker
20 COMMUNITY LANE
LIBERTY, NY 12754
Social Worker
20 COMMUNITY LANE
LIBERTY, NY 12754

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 Wiley's NPI number?

The NPI number for Kenneth Wiley is 1710918172. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Kenneth Wiley located?

Kenneth Wiley practices at 20 Community Lane, Liberty, NY 12754. The listed phone number is (845) 292-8770.

What is Kenneth Wiley's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kenneth Wiley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.