Individual provider Active NPI

Khovita Jainarine

  • Clinical Social Worker
  • Elmont, NY
National Provider Identifier
1013387513
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091301 Issued in NY
Practice address
1797 Dutch Broadway
Elmont, NY 11003-4243
Phone
(516) 561-1340
NPI assigned
Sep 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW010308 GA
Clinical Social Worker 1041C0700X 27820-C AR
Clinical Social Worker 1041C0700X 091301 NY Primary
Clinical Social Worker 1041C0700X 34012411A IN
Clinical Social Worker 1041C0700X C019810 NC
Clinical Social Worker 1041C0700X C11783 MS

Addresses

Primary practice location

1797 Dutch Broadway
Elmont, NY 11003-4243

Mailing address

1797 Dutch Broadway
Elmont, NY 11003-4243
Phone (516) 561-1340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME, LA, SC, DC, VA, IN7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20221102001218 NY Practitioner - Clinical Social Worker 2466829551 Reassigns benefits to 1 organization
I20250212000467 ME Practitioner - Clinical Social Worker 2466829551 Reassigns benefits to 1 organization
I20250213002453 LA Practitioner - Clinical Social Worker 2466829551 Reassigns benefits to 1 organization
I20251016000312 SC Practitioner - Clinical Social Worker 2466829551 Reassigns benefits to 1 organization
I20251021004891 DC Practitioner - Clinical Social Worker 2466829551 Reassigns benefits to 1 organization
I20251106003358 VA Practitioner - Clinical Social Worker 2466829551 Reassigns benefits to 1 organization
I20260303000286 IN Practitioner - Clinical Social Worker 2466829551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

PO Box
Suite 772
Woonsocket, RI 02895

Merit-based Incentive Payment System (MIPS)

Final score
79.81 of 100Reported as group
Quality
73.41
Improvement activities
40
Cost
81.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27820-CARMDClinical Social Worker
34012411AINMDClinical Social Worker
C11783MSMDClinical Social Worker
091301NYMDClinical Social Worker
18208SCMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostics of Indiana, LLC Clinical CurrentSince Jan 5, 2026 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Clinical CurrentSince Sep 19, 2025 Accepting new patients
Medical Group of New York, P.C. Clinical CurrentSince Sep 28, 2022 Accepting new patients
Minuteclinic Diagnostic of Maine, LLC CurrentSince Dec 8, 2024 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Clinical CurrentSince Oct 7, 2025 Accepting new patients
Minuteclinic Diagnostic of Louisiana, LLC Clinical CurrentSince Nov 24, 2024 Accepting new patients

Locations

1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-6438

4401 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 891-7731

2103 Gause Blvd E
Slidell, LA 70461
Phone (985) 643-5743

51 Market St
South Portland, ME 04106
Phone (207) 799-2261

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

1797 Dutch Broadway
Elmont, NY 11003
Phone (516) 561-1340

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1013387513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034243",
            "telephone_number": "516-561-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034243",
            "telephone_number": "516-561-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAINARINE",
        "first_name": "KHOVITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW010308",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "27820-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091301",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34012411A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.