Provider Demographics
NPI:1821318114
Name:KESSLER, JONATHAN S (LCSW)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:S
Last Name:KESSLER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 LEXINGTON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0977
Mailing Address - Country:US
Mailing Address - Phone:917-859-3874
Mailing Address - Fax:
Practice Address - Street 1:353 LEXINGTON AVE STE 200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0977
Practice Address - Country:US
Practice Address - Phone:917-859-3874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0781531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical