MEDICARE: COLLEEN JEAN KALMAN LCSW PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1528998085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLEEN JEAN KALMAN LCSW PLLC

Provider Business Mailing Address
First Line	:	33 ANDOVER DR
Second Line	:
City	:	PORT JEFFERSON STATION
State	:	NY
Zip	:	11776-3026
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 HALLOCK AVE
Second Line	:
City	:	PORT JEFFERSON STATION
State	:	NY
Zip	:	11776-1214
Country	:	US
Telephone Number	:	631-403-2188
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT DIRECTOR
Name	:	ELENA CASTRIOTA
Credential	:	LMSW
Telephone Number	:	631-542-2324

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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