Active NPI
Eviva Ida Kahne
- Social Worker
- Baltimore, MD
National Provider Identifier
1134857014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 623 W 34TH St Ste 105
Baltimore, MD 21211-2658 - Phone
- (410) 929-0401
- NPI assigned
- Aug 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
623 W 34TH St Ste 105
Baltimore, MD 21211-2658
Mailing address
343 E 28TH St Apt 2
Baltimore, MD 21218-6735
Phone (281) 788-6739
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Slope Center for Mental Health, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1851382188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1134857014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 E 28TH ST APT 2",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212186735",
"telephone_number": "281-788-6739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 W 34TH ST STE 105",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112658",
"telephone_number": "410-929-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHNE",
"first_name": "EVIVA",
"middle_name": "IDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.