Christopher M. Kilcullen, LCSW R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R030210-1 Issued in NY

Practice address

145-A East 94TH Street
Ground Level
Nyc, NY 10128

Phone

(718) 432-2783

NPI assigned

Jul 2, 2012

Last updated

Sep 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1306100573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145-A EAST 94TH ST.",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "718-432-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145-A EAST 94TH STREET",
            "address_2": "GROUND LEVEL",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "718-432-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCULLEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LCSW R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030210-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Infantino, NP
• Arden Marc Kaisman, MD
• Susan W Katz
• Samuel Kenan, MD
• Shahzad Massimo Khan, DDS
• Douglas Hunt King, DDS
• Kathy Kouroupas, DMD
• Emily Laitmon, LCSW
• Jiyon Lee, M. D.
• Steven J Lee, MD

• Clinical Social Worker in Nyc, NY
• Providers in Nyc, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.