Provider Demographics
NPI:1598883605
Name:KERR CONSULTING, INC
Entity Type:Organization
Organization Name:KERR CONSULTING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:KERR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-766-6612
Mailing Address - Street 1:1351 AUGUST RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-1908
Mailing Address - Country:US
Mailing Address - Phone:631-766-6612
Mailing Address - Fax:631-243-5937
Practice Address - Street 1:1351 AUGUST RD
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-1908
Practice Address - Country:US
Practice Address - Phone:631-766-6612
Practice Address - Fax:631-243-5937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO369-22-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN48872Medicare ID - Type UnspecifiedCOUNSELOR