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
Show map & directions

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

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