Individual provider · Type 1 NPI
Kel Maisenbacher, LCSW
Clinical Social Worker · Long Island City, NY
Practice location
3210 30th Ave # 2L
Long Island City, NY 11102-1562
Other practice locations
- 130 W Kingsbridge Rd, Bronx, NY 10468-3904 · (718) 584-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW1141265 (MA) |
| Clinical Social Worker | 1041C0700X | 089.0136642 (VT) |
| Clinical Social Worker Primary | 1041C0700X | 086705-1 (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 1285004374
Kel Maisenbacher, LCSW's National Provider Identifier is 1285004374, issued on Oct 1, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Long Island City, NY. The record was last updated on Aug 12, 2025.