Individual provider Active NPI

Karen Sue Goldman-Hertz, LCSW

  • Clinical Social Worker
  • Scarsdale, NY
National Provider Identifier
1073964292
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR022553-1 Issued in NY
Practice address
36 Abingdon LN
Scarsdale, NY 10583-6651
Phone
(914) 907-9598
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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 PR022553-1 NY Primary

Addresses

Primary practice location

36 Abingdon LN
Scarsdale, NY 10583-6651

Mailing address

36 Abingdon LN
Scarsdale, NY 10583-6651
Phone (914) 907-9598

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
I20180329001012 NY Order and Referring Only - Clinical Social Worker 9537421672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR022553-1NYMDClinical Social Worker
022553NYMDMassage Therapist

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1073964292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ABINGDON LN",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836651",
            "telephone_number": "914-907-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ABINGDON LN",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836651",
            "telephone_number": "914-907-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN-HERTZ",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR022553-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.