MR. KENNETH EDWARDS (NPI# 1982796793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982796793 |
| Entity Type | Individual |
| Full Name | MR. KENNETH EDWARDS |
| Credential | LCSW |
| Practice Address |
500 Montauk Hwy Ste M West Islip NY 11795-4419 |
| Practice Telephone | 6317666014 |
| Mailing Telephone | 6317666014 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
RO36605-01 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306383245 | Kenneth F Edwards | Counselor | 155 Montgomery St Ste 507, San Francisco, CA 94104-4110 | 2017-01-31 |
| 1679026074 | Kenneth Eugene Edwards | Occupational Therapist | 1020 Stonebridge Cir, Watkinsville, GA 30677-2077 | 2016-08-02 |
| 1780037234 | Kenneth Edwards | Physician Assistant | 1-38 Fa Battalion, Apo, AP 96224 | 2016-07-20 |
| 1003939356 | Kenneth Anthony Edwards | Psychologist | 10116 Highway 50 East, Suite 101, Mound House, NV 89706 | 2007-04-09 |
| 1114066065 | Kenneth Lee Edwards | Podiatrist | 3461 Warrensville Center Road, 303, Shaker Heights, OH 44122-5227 | 2007-02-06 |
| 1811046543 | Kenneth Glenn Edwards | Chiropractor | 1602 20th Ave, Phenix City, AL 36867-3714 | 2007-01-10 |
| 1114471943 | Kenneth Edwards | Dentist | 1205 Ne Coronado Dr, Blue Springs, MO 64014-2928 | 2016-08-10 |
| 1528235579 | Kenneth J. Edwards | Counselor | 1960 Washington St, Boston, MA 02118-3219 | 2008-05-09 |
| 1275629685 | Kenneth T Edwards Jr. | Social Worker | 3430 Newburg Rd, Suite 212, Louisville, KY 40218-2497 | 2006-10-04 |
| 1205930682 | Kenneth George Edwards | Dentist | 109 Ponemah Rd, Suite A, Amherst, NH 03031-2834 | 2006-09-07 |
| Street Address |
500 MONTAUK HWY STE M |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| 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 |
|---|---|---|---|---|
| 1033628847 | Justine Zerbo | Social Worker | 312 Hamilton Pl, West Islip, NY 11795-1930 | 2017-09-25 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1063751659 | Alison Jane Fortune | Social Worker | 22 Trues Dr, West Islip, NY 11795-5139 | 2013-02-03 |
| 1790069128 | Christine Lynn Sokol | Social Worker | 412 Kime Ave, West Islip, NY 11795-1115 | 2011-10-04 |
| 1932359965 | Donna Fodera | Social Worker | 22 Viking Dr, West Islip, NY 11795-5046 | 2008-09-26 |
| 1740326107 | Laura Beatrice Harsch | Social Worker | 3 Ember Ln, West Islip, NY 11795-2209 | 2007-01-30 |
| 1891843454 | Elizabeth Rose Cambra | Social Worker | 325 Sunrise Hwy, West Islip, NY 11795-2110 | 2007-01-08 |
| 1437238755 | Sandra E Reinert | Social Worker | 77 Sequams Ln E, West Islip, NY 11795-4507 | 2006-11-06 |
| 1922643329 | Pathway Counseling, Lcsw, PC | Social Worker | 325 Sunrise Hwy, West Islip, NY 11795-2110 | 2019-11-10 |
| 1306375191 | Carrie Ann Gardino | Social Worker | 325 Sunrise Hwy, West Islip, NY 11795-2110 | 2017-06-06 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
Please comment or provide details below to improve the information on MR. KENNETH EDWARDS.
| 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.