Provider Demographics
NPI:1548534282
Name:ESSLING, KIERA M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KIERA
Middle Name:M
Last Name:ESSLING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1574 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2446
Mailing Address - Country:US
Mailing Address - Phone:516-781-0190
Mailing Address - Fax:
Practice Address - Street 1:1975 HEMPSTEAD TPKE STE 404
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1703
Practice Address - Country:US
Practice Address - Phone:516-315-9884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083648-1104100000X
NY087633-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker