Individual provider Active NPI

Kenneth E Myers, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1194002295
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083403 Issued in NY
Practice address
275 7TH Ave RM 2501
New York, NY 10001-8400
Phone
(646) 846-9651
NPI assigned
Nov 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 086183 NY
Clinical Social Worker 1041C0700X 083403 NY Primary

Addresses

Primary practice location

275 7TH Ave RM 2501
New York, NY 10001-8400

Mailing address

CL # 4655
Pobox 95000
Philadelphia, PA 19195-4665
Phone (800) 444-6020

Other practice location 1

1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4200

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
I20151023000306 NY Practitioner - Clinical Social Worker 2466761937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

690 Amsterdam Ave
New York, NY 10025-6901
Phone (212) 865-4104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086183NYMDSocial Worker
083403NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Clinical CurrentSince Jul 6, 2015 Accepting new patients
The Institute for Family Health Clinical Current Accepting new patients
Kenneth Myers, LCSW, PLLC Clinical CurrentSince Aug 6, 2019 Accepting new patients

Locations

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

275 7th Ave
Rm 2501
New York, NY 10001
Phone (212) 929-9910

1824 Madison Ave
Fl 2
New York, NY 10035
Phone (212) 423-4200

230 W 17th St
Fl 68
New York, NY 10011

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

251 W 80th St
New York, NY 10024

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Organizations & group practices 3

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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1194002295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CL # 4655",
            "address_2": "POBOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191954665",
            "telephone_number": "800-444-6020",
            "fax_number": "845-256-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 7TH AVE RM 2501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100018400",
            "telephone_number": "646-846-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100353832",
            "country_code": "US",
            "telephone_number": "212-423-4200",
            "fax_number": "646-770-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KENNETH",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086183",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.