Individual provider Active NPI

Karyn Rosalie Holding, LCSW

  • Clinical Social Worker
  • Seaford, NY
National Provider Identifier
1053459388
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO51700-1 Issued in NY
Practice address
3960 Merrick Rd
Seaford, NY 11783-2826
Phone
(516) 375-3836
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RO51700-1 NY Primary

Addresses

Primary practice location

3960 Merrick Rd
Seaford, NY 11783-2826

Mailing address

3960 Merrick Rd
Seaford, NY 11783-2826
Phone (516) 375-3836

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
I20250109000609 NY Practitioner - Clinical Social Worker 6103354832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO51700-1NYMDClinical Social Worker
051700NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC CurrentSince Dec 1, 2024 Accepting new patients
Episcopal Health Services Inc PastSince Dec 1, 2024 Accepting new patients

Locations

1908 Brookhaven Ave
Far Rockaway, NY 11691
Phone (718) 869-8400

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

275 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 371-2225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karyn.holding.1@14448.direct.athenahealth.com

Organizations & group practices 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053459388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832826",
            "telephone_number": "516-375-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832826",
            "telephone_number": "516-375-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDING",
        "first_name": "KARYN",
        "middle_name": "ROSALIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO51700-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

Verify at the official NPI Registry.