IndividualActive
Kenneth Reddan, LCSW
NPI 1063502425 · Clinical Social Worker · Staten Island, NY
Provider details
- NPI number
- 1063502425
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 071025-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 Giordan Ct
Staten Island, NY 10303-2538
Phone: (718) 871-4593
Fax: (718) 228-3905
Street-level locationGet directions
Mailing address
7304 5th Ave
Brooklyn, NY 11209-2604
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2020-10-29
- Certified
- 2020-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.