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

Nicole Kelly Wong, LCSW

Individual provider Clinical Social Worker · NPI 1063246577

Nicole Kelly Wong, LCSW is a Clinical Social Worker in Poughkeepsie, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
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

21 Fairmont Ave Ofc 28
Poughkeepsie, NY 12603-2409
Phone: (845) 202-0634
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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 098256 (NY)

Record details

NPI number1063246577
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

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