Active NPI
Kenneth E Myers, LCSW
- Clinical Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 083403
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 086183 | NY | MD | Social Worker |
| 083403 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Family Health | Clinical | Current | Accepting new patients |
| The Institute for Family Health | Clinical | Current | Accepting new patients |
| Kenneth Myers, LCSW, PLLC | Clinical | Current | 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.
-
- Clinical Social Worker
- New York, NY
- NPI 1376197319
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.