Fern Kazlow, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-031910 Issued in NY

Practice address

250 Rte 100
Mount Kisco, NY 10549-3825

Phone

(212) 496-6611

NPI assigned

Jan 29, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1154952190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105460602",
            "telephone_number": "212-496-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RTE 100",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493825",
            "telephone_number": "212-496-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZLOW",
        "first_name": "FERN",
        "name_prefix": "Dr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-031910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkata Katari, M.D.
• Kate Delatizky Therapy
• Raisa Katz, MD
• Louise Katzin, FNP
• Matthew Richard Kaufmann, MD, MBA
• Adina H Keller, MD
• Jeffrey L Keller, MD
• Ari Jason Kellner, PSY.D.
• Kathleen Bridget Kenna, FNP-C, MSN, CCRN
• Jade Catherine Kerr, LMHC

• Clinical Social Worker in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.