MRS. KIMBERLY LYNN ANDREJKOVICS (NPI# 1386935948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386935948 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY LYNN ANDREJKOVICS |
| Credential | LCSW |
| Practice Address |
346 Montauk Hwy Ste 1a Moriches NY 11955 |
| Mailing Address |
346 Montauk Hwy Ste 1a Moriches NY 11955-1439 |
| Practice Telephone | 6312814461 |
| Practice Fax Number | 6312814258 |
| Mailing Telephone | 6312814461 |
| Mailing Fax Number | 6312814258 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 083572 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
083045 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03431225 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1235 Montauk Hwy, Mastic, NY 119502934 | 6312814461 | 6312814258 |
| 2 Coraci Blvd Ste 17, Shirley, NY 119674833 | 6312814461 | 6312814258 |
| Street Address |
346 MONTAUK HWY STE 1A |
| City | MORICHES |
| State | NY |
| Zip Code | 11955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043491665 | Colonial Youth and Family Services Inc. | Social Worker | 346 Montauk Hwy Ste 1a, Moriches, NY 11955 | 2007-11-26 |
| 1538644455 | Keri Angela Fico | Social Worker | 346 Montauk Hwy Ste 1a, Moriches, NY 11955-1439 | 2018-09-26 |
| 1073907358 | Paula Elliott-gilroy | Social Worker | 346 Montauk Hwy Ste 1a, Moriches, NY 11955-1439 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979399 | Robert Anthony Fitzsimmons | Massage Therapist | 225 Montauk Highway Suite 114, Moriches, NY 11955 | 2019-12-19 |
| 1548745474 | Luanne Sauer | Massage Therapist | 225 Montauk Hwy, St 114, Suite 114, Moriches, NY 11955 | 2018-09-26 |
| 1295008266 | Narcisa Marrero | Adult Companion | 82 Beaverspur, 10, Moriches, NY 11955 | 2012-02-21 |
| 1639488810 | Donna Susan Moeller | Registered Nurse | 630 Moriches Middle Island Road, Moriches, NY 11955 | 2010-10-05 |
| 1275706731 | Independent Group Home Living | Intermediate Care Facility, Mentally Retarded | 125 Sebonic Rd, South Hampton, NY 11955 | 2008-04-07 |
| 1316152556 | Maude V Fassett | Social Worker | 70-14 Lakewood Ct, Apt 14, Moriches, NY 11955 | 2007-05-11 |
| 1790896173 | Charles Melton | Dentist | 256 Montauk Highway, Starlight Dental Care, Moriches, NY 11955 | 2006-08-31 |
| 1770893729 | Moriches Vision Center | Technician/Technologist | 225 Montauk Hwy, Suite 106, Moriches, NY 11955 | 2010-10-08 |
| 1053689323 | Sagnella Physical Therapy Pllc | Physical Therapist | 11 1st Ave, Moriches, NY 11955-1001 | 2011-12-01 |
| 1235103821 | Albert Sagnella | Physical Therapist | 11 1st Ave, Moriches, NY 11955-1001 | 2006-02-13 |
| Find all providers in zip 11955 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316152556 | Maude V Fassett | Social Worker | 70-14 Lakewood Ct, Apt 14, Moriches, NY 11955 | 2007-05-11 |
| 1538644455 | Keri Angela Fico | Social Worker | 346 Montauk Hwy Ste 1a, Moriches, NY 11955-1439 | 2018-09-26 |
| 1073907358 | Paula Elliott-gilroy | Social Worker | 346 Montauk Hwy Ste 1a, Moriches, NY 11955-1439 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952129 | Elizabeth E Pascuzzi | Social Worker | 17 Copiague Pl, Copiague, NY 11726-3301 | 2020-11-08 |
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1194326470 | Qwest Therapy Lcsw Pllc | Social Worker | 61 Fassitt Dr, Mahopac, NY 10541-3803 | 2020-11-04 |
| 1801497060 | Mary Beth Davis-steyer | Social Worker | 14 Cottonwood Cir, Saugerties, NY 12477-9300 | 2020-11-04 |
| 1538760905 | Herby Simonis | Social Worker | 10925 200th St, Saint Albans, NY 11412-1223 | 2020-11-03 |
| 1548861982 | Carl Joy Adelman | Social Worker | 15 Cisney Avenue, Floral Park, NY 11001-3249 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1427659945 | Katherine Rechnio | Social Worker | 39 Horizon Farms Dr # 1, Warwick, NY 10990-2261 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.