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

Individual provider Clinical Social Worker · NPI 1063502425

Kenneth Reddan, LCSW is a Clinical Social Worker in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

20 Giordan Ct
Staten Island, NY 10303-2538
Phone: (718) 871-4593
Fax: (718) 228-3905
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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 071025-1 (NY)

Record details

NPI number1063502425
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 13, 2006
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020

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