IndividualActive
Kelly Tedesco
NPI 1871062067 · Clinical Social Worker · Lynbrook, NY
Kelly Tedesco is a Clinical Social Worker provider in Lynbrook, NY (NPI 1871062067).
Provider details
- NPI number
- 1871062067
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 087451 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
200 Atlantic Ave
Lynbrook, NY 11563-3505
Phone: (516) 647-2708
Street-level locationGet directions
Mailing address
164 Pebble Ln
Hewlett, NY 11557-1709
Registry dates
- Enumerated
- 2018-11-16
- Last updated
- 2018-11-16
Frequently asked questions
- What is Kelly Tedesco's NPI number?
- Kelly Tedesco's National Provider Identifier (NPI) is 1871062067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Tedesco's specialty?
- Kelly Tedesco is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Tedesco located?
- Kelly Tedesco's practice location on file with NPPES is 200 Atlantic Ave, Lynbrook, NY 11563-3505.
- What is Kelly Tedesco's phone number?
- The practice phone number listed in the NPPES registry for Kelly Tedesco is (516) 647-2708.
- Is Kelly Tedesco's NPI active?
- Yes — Kelly Tedesco's NPI (1871062067) is active in the NPPES registry as of the last update on 2018-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.