{"npi":"1285704981","type":"NPI-1","status":"active","name":{"display":"Thomas Kellner Lcswr","other":[],"first":"THOMAS","last":"KELLNER","middle":"H.","credential":"LCSWR"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"NY","license":"R057282-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"239 GOLDEN HILL LN","city":"KINGSTON","state":"NY","postal_code":"124016441","country_code":"US","phone":"8458839747"},{"purpose":"MAILING","street_1":"239 GOLDEN HILL LN","city":"KINGSTON","state":"NY","postal_code":"124016441","country_code":"US","phone":"8458959804"}],"license":{"state":"NY","number":"R057282-1"},"identifiers":[{"type_code":"01","label":"Other","value":"R057282-1","state":"NY","issuer":"STATE LICENSE-LCSWR"},{"type_code":"05","label":"Medicaid","value":"NE2441","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040519001254","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"NY","pac_id":"2466443411"}]},"enumeration_date":"2006-11-09","last_updated":"2018-03-22","_meta":{"source":"NPPES","snapshot_date":"2018-03-22","doc_url":"https://findmynpi.com/api"}}