Individual provider Active NPI

Keira Alicia Chassman, MSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1043443864
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
054264 Issued in NY
Practice address
103 E 86TH St
Suite 1W
New York, NY 10028-1058
Phone
(973) 600-2554
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 054264 NY Primary

Addresses

Primary practice location

103 E 86TH St
Suite 1W
New York, NY 10028-1058

Mailing address

210 Riverside Dr
Suite 6a
New York, NY 10025-6802
Phone (973) 600-2554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1043443864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 RIVERSIDE DR",
            "address_2": "SUITE 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256802",
            "telephone_number": "973-600-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 86TH ST",
            "address_2": "SUITE 1W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281058",
            "telephone_number": "973-600-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASSMAN",
        "first_name": "KEIRA",
        "middle_name": "ALICIA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "054264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.