Active NPI
Randi Beth Kish, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1144554502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 047187-1
- Practice address
- 311A West 50TH St.
New York, NY 10019 - Phone
- (917) 207-8424
- Fax
- (212) 280-6485
- NPI assigned
- Oct 1, 2009
- Last updated
- Oct 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 047187-1 | NY | Primary |
Addresses
Primary practice location
311A West 50TH St.
New York, NY 10019
Mailing address
311A West 50TH Street
New York, NY 10019
Phone (917) 207-8424
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 |
|---|---|---|---|
| 047187-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1144554502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311A WEST 50TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "917-207-8424",
"fax_number": "212-280-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311A WEST 50TH ST.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "917-207-8424",
"fax_number": "212-280-6485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISH",
"first_name": "RANDI",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "047187-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.