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KELLY B TEDESCO
NPI 1871062067
Social Worker - Clinical in Lynbrook, NY

Active since November 16, 2018
200 ATLANTIC AVE, LYNBROOK, NY 11563(516) 647-2708 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly B Tedesco NPPES

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

KELLY B TEDESCO (NPI 1871062067) is an individual clinical provider in Lynbrook, New York, licensed in New York (087451) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1871062067
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY B TEDESCO
Location Address200 ATLANTIC AVELynbrook, NY 11563-3505
Mailing Address164 Pebble LnHewlett, NY 11557-1709 · (516) 647-2708
Phone(516) 647-2708
Sole ProprietorYes
Enumeration DateNovember 16, 2018
✔ NPI 1871062067 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 · 087451
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.
200 ATLANTIC AVE, Lynbrook, NY 11563
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Other Providers at the Same Location NPPES 8

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

MS. JACQUELINEB MARIE SHELLEY LCSW-R,ACSW
Social Worker (Clinical)
200 ATLANTIC AVE
LYNBROOK, NY 11563
Nassau County (516) 439-6527
DISCOVER & REFLECT PSYCHOLOGICAL SERVICES
Psychologist (Clinical)
200 ATLANTIC AVE
LYNBROOK, NY 11563
Nassau County (516) 650-5779
DR. JEFFREY WILLIAM FOX D.D.S.
Dentist (General Practice)
200 ATLANTIC AVE
LYNBROOK, NY 11563
Nassau County (516) 599-3120
DR. SUE CARVER PSYD
Psychologist (Clinical)
200 ATLANTIC AVE
LYNBROOK, NY 11563
Nassau County (516) 593-7825
MRS. FELISE NAN FOX LCSW,BCD
Social Worker (Clinical)
200 ATLANTIC AVE, SUITE NORTH
LYNBROOK, NY 11563
Nassau County (516) 593-0839
LAURA CORCORAN NP IN PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
200 ATLANTIC AVE
LYNBROOK, NY 11563
Nassau County (516) 494-7504
CARVER WILE PSYCHOLOGY SOLUTIONS, LLC
Psychologist (Clinical)
200 ATLANTIC AVE, 1SR FLOOR OFFICES
LYNBROOK, NY 11563
Nassau County (516) 593-7828
MS. PATRICIA MANGI RN
Registered Nurse (Case Management)
200 ATLANTIC AVE, APT 119
LYNBROOK, NY 11563
Nassau County (516) 792-5874

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 Kelly Tedesco's NPI number?

The NPI number for Kelly Tedesco is 1871062067. It was assigned to this individual provider in the NPPES registry on November 16, 2018.

Where is Kelly Tedesco located?

Kelly Tedesco practices at 200 Atlantic Ave, Lynbrook, NY 11563. The listed phone number is (516) 647-2708.

What is Kelly Tedesco's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Tedesco was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.