Active NPI
Kelly Blake Woolf, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1184021644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 090242
- Practice address
- 1011 Washington Ave
Bronx, NY 10456-6619 - Phone
- (718) 585-4205
- NPI assigned
- Nov 28, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 090242 | NY | Primary |
Addresses
Primary practice location
1011 Washington Ave
Bronx, NY 10456-6619
Mailing address
1011 Washington Ave
Bronx, NY 10456-6619
Phone (718) 585-4205
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417132800000",
"number": "1184021644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 WASHINGTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104566619",
"telephone_number": "718-585-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 WASHINGTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104566619",
"telephone_number": "718-585-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLF",
"first_name": "KELLY",
"middle_name": "BLAKE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-28",
"last_updated": "2014-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "090242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Mary Woods, ATR-BC, LCAT
- Roslyn Woods
- Ann Woodstock-Mattis, RN
- Eboni Diane Wooley, MSW,BSW
- Graham Wilcomb Woolf, MD
- Andrea Woolford, M.A., CCC-SLP, TSSLD
- Henry Thomas Workman Jr., DO
- Workmen'S Circle Home & Infirmary Foundation for the Aged, New York BR
- Workmens Circle Dialysis Center Inc
- Workmens Circle Dialysis Management LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.