Active NPI
Dovid L. Halon
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1285296756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107193
- Practice address
- 763 Eastern Pkwy Apt B20
Brooklyn, NY 11213-3421 - Phone
- (718) 687-9294
- NPI assigned
- Jul 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| School Social Worker | 1041S0200X | 1375306191 | ||
| Clinical Social Worker | 1041C0700X | 107193 | NY | Primary |
Addresses
Primary practice location
763 Eastern Pkwy Apt B20
Brooklyn, NY 11213-3421
Mailing address
1455 Carroll St
Brooklyn, NY 11213-4513
Phone (347) 452-0670
Other practice location 1
1455 Carroll St
Brooklyn, NY 11213-4513
Phone (347) 452-0670
Other practice location 2
663 Rutland Rd Bsmt
Brooklyn, NY 11203-1805
Phone (718) 687-9294
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 |
|---|---|---|---|
| 107193 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Counseling LLC | Clinical | Current | Accepting new patients |
| Learning Learners LLC | Past | Accepting new patients | |
| Learning Learners, LLC | Clinical | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1023995255
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1154035301
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1023693645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1285296756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 CARROLL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112134513",
"telephone_number": "347-452-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 EASTERN PKWY APT B20",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112133421",
"telephone_number": "718-687-9294"
}
],
"practiceLocations": [
{
"address_1": "1455 Carroll St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112134513",
"country_code": "US",
"telephone_number": "347-452-0670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "663 Rutland Rd Bsmt",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112031805",
"country_code": "US",
"telephone_number": "718-687-9294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALON",
"first_name": "DOVID",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-03",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": "1375306191",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "107193",
"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 Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.