Individual provider Active NPI

Dovid L. Halon

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1285296756
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107193 Issued in NY
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

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
School Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
107193NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling LLC Clinical CurrentSince Mar 21, 2021 Accepting new patients
Learning Learners LLC PastSince Nov 24, 2025 Accepting new patients
Learning Learners, LLC Clinical PastSince Jan 15, 2023 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.

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.

Verify at the official NPI Registry.