Provider Demographics
NPI:1194249714
Name:KORENKIEWICZ, KELSEY (LICSW)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:KORENKIEWICZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WATER ST
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-4306
Mailing Address - Country:US
Mailing Address - Phone:585-409-8656
Mailing Address - Fax:
Practice Address - Street 1:10 WATER ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-4306
Practice Address - Country:US
Practice Address - Phone:585-409-8656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical