Individual provider · Type 1 NPI

Kelsea Surace

Clinical Social Worker · Bellport, NY

NPI number 1154823896 Active

Practice location

11 Farber Dr Ste D
Bellport, NY 11713-1500

Mailing address

51 Maple Ave
Northport, NY 11768-1937

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X094598 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1154823896

Kelsea Surace's National Provider Identifier is 1154823896, issued on Mar 7, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bellport, NY. The record was last updated on Apr 9, 2026.