Active NPI
Grace Kerr
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1215229042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 071507-1
- Practice address
- 9413 Flatlands Ave
Brooklyn, NY 11236-3726 - Phone
- (718) 272-1600
- Fax
- (718) 272-1669
- NPI assigned
- May 12, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 071507-1 | NY | Primary |
Addresses
Primary practice location
9413 Flatlands Ave
Brooklyn, NY 11236-3726
Mailing address
1670 E 17TH St
Brooklyn, NY 11229-1281
Phone (718) 375-1200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071507-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1215229042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 E 17TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291281",
"telephone_number": "718-375-1200",
"fax_number": "718-382-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9413 FLATLANDS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363726",
"telephone_number": "718-272-1600",
"fax_number": "718-272-1669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "071507-1",
"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 May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.