KENNY TELLO (NPI# 1972931988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972931988 |
| Entity Type | Individual |
| Full Name | KENNY TELLO |
| Practice Address |
455 W Warren Ave Longwood FL 32750-4038 |
| Practice Telephone | 4072622220 |
| Practice Fax Number | 4078345011 |
| Mailing Telephone | 4072622220 |
| Mailing Fax Number | 4078345011 |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW11027 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 106779400 | 05 |
| Street Address |
455 W WARREN AVE |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396730743 | Henry Alexander Boilini | Psychiatry & Neurology | 455 W Warren Ave, Longwood, FL 32750-4038 | 2005-09-13 |
| 1215415633 | Connor J Mcvey | Physician Assistant | 455 W Warren Ave, Longwood, FL 32750-4038 | 2018-07-30 |
| 1174072607 | Nicole Ashley Corbo | Speech-Language Pathologist | 455 W Warren Ave, Suite 200, Longwood, FL 32750-4038 | 2016-09-26 |
| 1245691013 | Theresa Tiemann | Occupational Therapist | 455 W Warren Ave, Ste 200, Longwood, FL 32750-4038 | 2016-03-08 |
| 1396116273 | Erica Mandry | Speech-Language Pathologist | 455 W Warren Ave, #200, Longwood, FL 32750-4038 | 2015-10-16 |
| 1710379441 | Melinda Klinger | Physical Therapist | 455 W Warren Ave, Suite 200, Longwood, FL 32750-4002 | 2015-03-04 |
| 1316339641 | Central Florida Therapy Solutions | Physical Therapist | 455 W Warren Ave, 200, Longwood, FL 32750-4002 | 2015-02-24 |
| 1184058125 | Stephanie Simmons | Physical Therapist | 455 W Warren Ave, Longwood, FL 32750-4002 | 2013-08-27 |
| 1740626449 | Maria Marchese-machovec | Speech-Language Pathologist | 455 W Warren Ave, Ste 200, Longwood, FL 32750-4002 | 2013-05-21 |
| 1205272382 | Brittany Montalvo | Speech-Language Pathologist | 455 W Warren Ave, Ste 200, Longwood, FL 32750-4002 | 2013-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| 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 |
|---|---|---|---|---|
| 1457994832 | Michelle Lopez Therapy LLC | Social Worker | 172 W Warren Ave Ste 120, Longwood, FL 32750-4133 | 2019-10-18 |
| 1235452947 | Michele Greco | Social Worker | 600 N Highway 17/92, Suite 168a, Longwood, FL 32750-3624 | 2010-03-09 |
| 1225362601 | Journey Counseling Services Inc. | Social Worker | 107 Smokerise Blvd, Longwood, FL 32779-3314 | 2009-10-01 |
| 1619113651 | Mary-jo Katherine Snively | Social Worker | 1610 Robert St, Longwood, FL 32750 | 2008-12-22 |
| 1720144371 | Kids Connection Therapy LLC | Social Worker | 147 Parsons Rd, Longwood, FL 32779-2748 | 2006-12-28 |
| 1588729933 | Julie Bryant | Social Worker | 102 Durham Pl, Longwood, FL 32779-4687 | 2006-12-26 |
| 1871963124 | First Step Care LLC | Social Worker | 365 Wekiva Springs Rd Ste 231, Longwood, FL 32779-3690 | 2015-09-30 |
| 1871929182 | Victoria Eugenia Echeverry | Social Worker | 407 Wekiva Springs Rd, Suite 104, Longwood, FL 32779 | 2013-09-18 |
| 1447519889 | Katharine W. Mendoza | Social Worker | 1385 W State Road 434, Suite 207, Longwood, FL 32750-6871 | 2012-05-04 |
| 1003056946 | Vicki Mary Wotring | Social Worker | 100 Crown Oak Centre Dr, Longwood, FL 32750-6166 | 2009-03-05 |
| Find all providers in LONGWOOD | ||||
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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.