Active NPI
Noa Halverson Kaufhold, MSW
- Social Worker
- Boiceville, NY
National Provider Identifier
1124745674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 118367
- Practice address
- 4166 State Route 28
Boiceville, NY 12412-5203 - Phone
- (845) 657-2373
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW137632 | PA | |
| Social Worker | 104100000X | 118367 | NY | Primary |
Addresses
Primary practice location
4166 State Route 28
Boiceville, NY 12412-5203
Mailing address
7212 State Route 28
Shandaken, NY 12480-5004
Phone (619) 379-7811
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118367 | NY | MD | Social Worker |
| SW137632 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1124745674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7212 STATE ROUTE 28",
"city": "SHANDAKEN",
"state": "NY",
"postal_code": "124805004",
"telephone_number": "619-379-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4166 STATE ROUTE 28",
"city": "BOICEVILLE",
"state": "NY",
"postal_code": "124125203",
"telephone_number": "845-657-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFHOLD",
"first_name": "NOA",
"middle_name": "HALVERSON",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-25",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW137632",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "118367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boiceville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.