Individual provider Active NPI

Christine Kajetzke, LCSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1043522998
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
081076 Issued in NY
Practice address
255 15TH St
Brooklyn, NY 11215-4988
Phone
(718) 788-5101
Fax
(718) 788-5102
NPI assigned
Jul 8, 2010
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 081076 NY Primary
Clinical Social Worker 1041C0700X 081076 NY

Addresses

Primary practice location

255 15TH St
Brooklyn, NY 11215-4988

Mailing address

255 15TH St
Brooklyn, NY 11215-4988
Phone (718) 788-5101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150603002758 NY Practitioner - Clinical Social Worker 6709107691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1007 Quentin Rd
Brooklyn, NY 11223-2341
Phone (718) 896-9090

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081076NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jul 30, 2024 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Clinical CurrentSince Jul 30, 2024 Accepting new patients
Park Slope Center for Mental Health, Inc CurrentSince May 4, 2015 Accepting new patients

Locations

1007 Quentin Rd
Brooklyn, NY 11223
Phone (718) 896-9090

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

348 13th St
Ste 203
Brooklyn, NY 11215
Phone (718) 788-5101

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1043522998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154988",
            "telephone_number": "718-788-5101",
            "fax_number": "718-788-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154988",
            "telephone_number": "718-788-5101",
            "fax_number": "718-788-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJETZKE",
        "first_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081076",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.