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

Kelly B Tedesco

Individual provider Clinical Social Worker · NPI 1871062067

Kelly B Tedesco is a Clinical Social Worker in Lynbrook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

200 Atlantic Ave
Lynbrook, NY 11563-3505
Phone: (516) 647-2708
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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 087451 (NY)

Record details

NPI number1871062067
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 16, 2018
Last updated in NPPESNovember 16, 2018
Mailing address164 Pebble Ln, Hewlett, NY 11557-1709

Other providers in Lynbrook