NPIMap

Organization Active NPI

Donna M Klassen LCSW PC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1194164657
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-047656 Issued in NY
Legal business name
DONNA M KLASSEN LCSW PC
Practice address
78 71St St
Brooklyn, NY 11209-1102
Phone
(917) 836-2167
NPI assigned
Jun 18, 2013
Last updated
Oct 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Donna M Klassen, LCSWNPI 1861796211
Title
President
Phone
(917) 836-2167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R-047656 NY Primary

Addresses

Primary practice location

78 71St St
Brooklyn, NY 11209-1102

Mailing address

78 71St St
Brooklyn, NY 11209-1102
Phone (917) 836-2167

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1194164657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 71ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091102",
            "telephone_number": "917-836-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 71ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091102",
            "telephone_number": "917-836-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA M KLASSEN LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "KLASSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-836-2167",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-047656",
            "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 Oct 22, 2013; 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.