Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN MICHAEL LYCKE, MSW/LCSW
Active Sole ProprietorMR. KEVIN MICHAEL LYCKE, MSW/LCSW is a Clinical Social Worker healthcare provider located in HUNTINGTON STATION, New York. NPI 1770894511 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · HUNTINGTON STATION, NY
Registration Details
- NPI Number
- 1770894511
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2010 (16.11765168839 yrs)
- Last Updated
- Dec 14, 2015
- License
-
PR065283-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33 WALT WHITMAN RDSUITE 106HUNTINGTON STATION, NY, 117463640Browse NY providers · Browse ZIP 11746
- Phone
- 6313340234
- Fax
- 6319812679
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in HUNTINGTON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM R YELEN | — | 1114910858 |
| DAVID GRODEN | — | 1891857975 |
| MS. JILL A BALK | LCSW | 1104970201 |
| KRISTINA SUHR MERENDINI | LCSW | 1295864148 |
| MRS. KIM EILEEN POMEROY | LCSW | 1447371661 |
| MS. PATRICIA MORAN COLAROSSI | C.S.W. | 1134332356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.