MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA) – Clinical Social Worker, NPI 1528184496

MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA) is a healthcare provider. based in Warren, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S, MSSA. They hold a License No. S-0027461 (OH). The NPI Number for MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA) is 1528184496

Main info

Male
21 Years Of Experience
Name
MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA)
NPI
1528184496
Phone
(330) 399-1408
Address
187 BELVEDERE AVE SE
Enumeration Date
22 March 2007
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307467929
Graduation Year
2005 (21 years ago)
PAC ID
0648450189
Group Practice PAC ID
9931007713
Professional Enrollment ID
I20110215000961
Address ID
OH445041314YO517XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA)

  • 187 BELVEDERE AVE SE

    WARREN, OH 444836120

    Phone: (330) 399-1408

    Type: Mailing

  • 165 E PARK AVE

    NILES, OH 444462352

    Phone: (330) 544-8005

    Type: Location

  • 517 GYPSY LN

    YOUNGSTOWN, OH 445041314

    Phone: (330) 746-7929

    Fax: (330) 746-7939

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110215000961IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44483)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931007713View full group profile
NameSpecialtyState
Clinical Social WorkerOH
-OH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA)?
MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA) — NPI 1528184496 — is the standard way to identify this listing.
Can I rely on MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA) being an active provider?
As of the registry snapshot, MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA) is marked active.
What is MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA)'s specialty?
The listing groups MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA) on a map?
Expect Warren, Ohio as a primary anchor for MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA) unless the record lists multiple sites.
Why does MR. KENNETH JOSEPH BIELECKI (LISW-S, MSSA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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