Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelle M Kenzik, LCSW

Individual provider Clinical Social Worker · NPI 1578034336

Kelle M Kenzik, LCSW is a Clinical Social Worker in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2009 Bodanyi Pl
Ronkonkoma, NY 11779-6531
Phone: (631) 621-8485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089375 (NY)

Record details

NPI number1578034336
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 5, 2018
Last updated in NPPESNovember 27, 2021
Certification dateNovember 27, 2021

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