Individual provider · Type 1 NPI

Kristopher Konyak

Clinical Social Worker · Ithaca, NY

NPI number 1548050800 Active

Practice location

323 N Tioga St
Ithaca, NY 14850-4205

Call (607) 936-1771 Map

Fax (607) 229-1200

Mailing address

33 Denison Pkwy W
Corning, NY 14830-2613

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X126470 (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 1548050800

Kristopher Konyak's National Provider Identifier is 1548050800, issued on May 9, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on May 9, 2025.