Active NPI
Caroline Goldmacher Kern, LCSW
- Clinical Social Worker
- New Rochelle, NY
National Provider Identifier
1275774580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 069451-1
- Practice address
- 77 Broadview Ave
New Rochelle, NY 10804-4114 - Phone
- (917) 450-8510
- NPI assigned
- Mar 16, 2009
- 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 | 069451-1 | NY | Primary |
Addresses
Primary practice location
77 Broadview Ave
New Rochelle, NY 10804-4114
Mailing address
77 Broadview Ave
New Rochelle, NY 10804-4114
Phone (917) 450-8510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 17, 2025 through Mar 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069451-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1275774580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 BROADVIEW AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108044114",
"telephone_number": "917-450-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 BROADVIEW AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108044114",
"telephone_number": "917-450-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "CAROLINE",
"middle_name": "GOLDMACHER",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "069451-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.