Active NPI
Cassidy M Kahn
- Social Worker
- New York, NY
National Provider Identifier
1174138119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 110374
- Practice address
- 340 E 93Rd St Apt 29I
New York, NY 10128-5556 - Phone
- (917) 291-9989
- NPI assigned
- Sep 15, 2020
- 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 | 110374 | NY | Primary |
Addresses
Primary practice location
340 E 93Rd St Apt 29I
New York, NY 10128-5556
Mailing address
2659 State St Ste 100
Carlsbad, CA 92008-1627
Phone (917) 291-9989
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 |
|---|---|---|---|
| 110374 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1174138119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2659 STATE ST STE 100",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081627",
"telephone_number": "917-291-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E 93RD ST APT 29I",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285556",
"telephone_number": "917-291-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "CASSIDY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "110374",
"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 Dec 2, 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.