Kel Maisenbacher, LCSW
Social Worker, Clinical in Long Island City, New York
1285004374- Practice location
- 3210 30TH Ave # 2L, Long Island City, NY 11102-1562
- Phone
- 929-244-3779
- Fax
- —
- Last updated
- August 12, 2025
Kel Maisenbacher is a Social Worker, Clinical based in Long Island City, NY. Kel Maisenbacher practices in Long Island City, NY and has the professional credentials of LCSW. The NPI Number for Kel Maisenbacher is 1285004374 and holds a License No. LICSW1141265 (MA). The current practice location address for Kel Maisenbacher is 3210 30TH Ave # 2L, Long Island City, NY 11102-1562 and can be reached out via phone at 929-244-3779.
Provider Profile Details
- NPI Number
- 1285004374
- Provider Name
- Kel Maisenbacher
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3210 30TH Ave # 2L, Long Island City, NY 11102-1562
- Phone Number
- 929-244-3779
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 1, 2015
- Last Update Date
- August 12, 2025
- Certification Date
- August 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3210 30TH Ave # 2L
Long Island City, NY 11102-1562 - City
- Long Island City
- State
- New York
- Zip
- 11102-1562
- Phone Number
- 929-244-3779
Provider Business Mailing Address Details
- Address
- 3210 30TH Ave # 2L
Long Island City, NY 11102-1562 - City
- Long Island City
- State
- NY
- Zip
- 11102-1562
- Phone Number
- 518-821-5932
License Information
- License Number (1)
- LICSW1141265
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 089.0136642
- License State (2)
- VT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- 086705-1
- License State (3)
- NY
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kel Maisenbacher, LCSW?
The NPI number of Kel Maisenbacher, LCSW is 1285004374. It was assigned on October 1, 2015 and is currently active in the NPPES registry.
What is the specialty of Kel Maisenbacher, LCSW?
Kel Maisenbacher, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW1141265.
Where does Kel Maisenbacher, LCSW practice?
The practice location is 3210 30TH Ave # 2L, Long Island City, NY 11102-1562. The office can be reached at 929-244-3779 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285004374 directly on the NPPES registry website.