Individual provider Active NPI

Katherine Chern

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1215514005
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P109088 Issued in NY
Practice address
2020 Coney Island Ave
Brooklyn, NY 11223-2329
Phone
(786) 352-0413
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P109088 NY Primary

Addresses

Primary practice location

2020 Coney Island Ave
Brooklyn, NY 11223-2329

Mailing address

2020 Coney Island Ave
Brooklyn, NY 11223-2329
Phone (786) 352-0413

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
I20250109001561 NY Practitioner - Clinical Social Worker 3476081126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Board of Family and Childrens Services IncGroup PAC ID 5092607333, 127 clinicians

Practice addresses (Care Compare)

2020 Coney Island Ave
Brooklyn, NY 11223-2329
Phone (718) 676-4210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P109088NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Dec 8, 2024 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince Dec 8, 2024 Accepting new patients

Locations

2020 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 676-4210

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

Organizations & group practices 2

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1215514005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232329",
            "telephone_number": "786-352-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232329",
            "telephone_number": "786-352-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERN",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P109088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.