Kelly M Blanc, LCSW
Social Worker, Clinical in Brooklyn, NY. Individual provider (NPI-1).
NPI number1164048476
StatusActive
Last updated in NPPESFeb 24, 2026
Details
- NPI
- 1164048476
- Entity type
- Individual (NPI-1)
- Name
- Kelly M Blanc
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2020
- Certification date
- Feb 24, 2026
- Last updated
- Feb 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 098192 | NY | Yes |
Practice location
535 Flushing AveBrooklyn, NY 11205-1610
Phone 929-800-2340
Mailing address
25 Fletcher AveValley Stream, NY 11580-4040
Phone 631-605-7516
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