National Provider Identifier
John Robert Klenchik, LMSW
John Robert Klenchik, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 427-3939.
Profile Overview
- NPI
- 1124711536
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- May 31, 2023
- Last Updated
- May 31, 2023
Practice Location
- 418 N Tioga St
- Ithaca, NY 14850-5293
Phone: (607) 427-3939
Mailing Address
- 11 Kentucky Ave
- Trumansburg, NY 14886-9527
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1124711536
- Entity Type
- Individual
- Last Name
- Klenchik
- First Name
- John
- Middle Name
- Robert
- Credential
- LMSW
- Mailing Street Address
- 11 Kentucky Ave
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-9527
- Mailing Country
- US
- Mailing Phone
- (607) 427-3939
- Practice Street Address
- 418 N Tioga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5293
- Practice Country
- US
- Practice Phone
- (607) 427-3939
- Enumeration Date
- May 31, 2023
- Last Updated
- May 31, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)
- Other Identifiers
- 086820 (NY, Licensed Master Social Worker)