Individual provider Active NPI

Charles Krauthamer, LCSW

  • Marriage & Family Therapist
  • Brooklyn, NY
National Provider Identifier
1164569976
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
R024791-1 Issued in NY
Practice address
7819 18TH Ave
Brooklyn, NY 11214-1729
Phone
(718) 909-5979
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R024791-1 NY
Marriage & Family Therapist 106H00000X R024791-1 NY Primary

Addresses

Primary practice location

7819 18TH Ave
Brooklyn, NY 11214-1729

Mailing address

1090 Belle Ave
Teaneck, NJ 07666-2779
Phone (718) 909-5979

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R024791-1NYMDMarriage & Family Therapist
024791NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Medical Care, P.C. PastSince Jan 15, 1999 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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164569976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 BELLE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662779",
            "telephone_number": "718-909-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7819 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141729",
            "telephone_number": "718-909-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUTHAMER",
        "first_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R024791-1",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "R024791-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.