Individual provider Active NPI

Pamela Ann Kirsch I, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1154956340
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097015 Issued in NY
Practice address
34 W 22ND St
New York, NY 10010-5805
Phone
(215) 206-2631
NPI assigned
Mar 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097015 NY Primary

Addresses

Primary practice location

34 W 22ND St
New York, NY 10010-5805

Mailing address

34 W 22ND St
New York, NY 10010-5805
Phone (917) 960-9500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@citytherapy.nyc Direct

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
I20220916001045 NY Practitioner - Clinical Social Worker 7911382635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097015NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Reid LLC CurrentSince Aug 23, 2022 Accepting new patients

Locations

26 Court St
Brooklyn, NY 11242
Phone (718) 283-8225

113 University Pl
Fl 11
New York, NY 10003
Phone (412) 465-0513

113 University Pl
New York, NY 10003
Phone (917) 902-4248

113 University Pl
Fl 8
New York, NY 10003
Phone (347) 460-6588

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.

NPI Registry JSON

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1154956340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W 22ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105805",
            "telephone_number": "917-960-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W 22ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105805",
            "telephone_number": "215-206-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-08",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@citytherapy.nyc",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "34 W 22nd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100105805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.