RONALD L. KISSICK LCSW
NPI 1871601666
Social Worker - Clinical in Endwell, NY

Q: What is Ronald Kissick's NPI number?

The NPI number for Ronald Kissick is 1871601666. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Ronald Kissick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ronald Kissick 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.

Active since August 29, 2006

3220 PEARL ST, ENDWELL, NY 13760(607) 754-4520(607) 754-4021 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ronald L. Kissick Lcsw NPPES

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

RONALD L. KISSICK LCSW (NPI 1871601666) is an individual clinical provider in Endwell, New York, licensed in New York (PRO154731-1) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1871601666

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameRONALD L. KISSICKCredential: LCSW

Location Address3220 PEARL STEndwell, NY 13760-5758

Mailing Address3220 Pearl StEndwell, NY 13760-5758 · (607) 754-4520 · Fax (607) 754-4021

Phone(607) 754-4520

Fax(607) 754-4021

Sole ProprietorYes

Enumeration DateAugust 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1871601666 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 · PRO154731-1

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.

3220 PEARL ST, Endwell, NY 13760

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Other Identifiers 3

OtherG0184797040NY · Excellus Rochester

Other1237792NY · Aetna

Medicare ID-Type Unspecified52935BNY

Other Providers at the Same Location NPPES 7

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

TARA J BELSARE MD

Psychiatry & Neurology (Psychiatry)