Individual provider · Type 1 NPI

Alex Ryan Kehoe, LCSW

Clinical Social Worker · Hauppauge, NY

NPI number 1508589615 Active

Practice location

50 Laser Ct
Hauppauge, NY 11788-3958

Call (516) 788-4586 Map

Mailing address

367 Baldwin Path
Deer Park, NY 11729-1414

Other practice locations

  • 367 Baldwin Path, Deer Park, NY 11729-1414 · (631) 838-9105

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X102883 (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 1508589615

Alex Ryan Kehoe, LCSW's National Provider Identifier is 1508589615, issued on Sep 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hauppauge, NY. The record was last updated on Jul 7, 2026.