Active NPI
Robert Kaye-Walsh, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1063820165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 086244
- Practice address
- 26 Court St Ste 1009
Brooklyn, NY 11242-1110 - Phone
- (347) 694-7226
- NPI assigned
- Aug 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P93378 | NY | |
| Social Worker | 104100000X | 093797 | NY | |
| Clinical Social Worker | 1041C0700X | 086244 | NY | Primary |
Addresses
Primary practice location
26 Court St Ste 1009
Brooklyn, NY 11242-1110
Mailing address
26 Court St Ste 1009
Brooklyn, NY 11242-1110
Phone (347) 694-7226
Other practice location 1
7701 13th Ave
Brooklyn, NY 11228-2413
Phone (718) 232-1351
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P93378 | NY | MD | Social Worker |
| 086244 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1063820165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 COURT ST STE 1009",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112421110",
"telephone_number": "347-694-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 COURT ST STE 1009",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112421110",
"telephone_number": "347-694-7226"
}
],
"practiceLocations": [
{
"address_1": "7701 13th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112282413",
"country_code": "US",
"telephone_number": "718-232-1351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAYE-WALSH",
"first_name": "ROBERT",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "P93378",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "093797",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "086244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.