Individual provider Active NPI

William Frederick Kineheloe Jr., R-LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1346569753
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R044430 Issued in NY
Practice address
15 West 65TH Street Floor #2
Esther Ashkenas Central Park Early Learning Center
New York, NY 10023
Phone
(212) 787-5400
Fax
(212) 787-0084
NPI assigned
May 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R044430 NY Primary

Addresses

Primary practice location

15 West 65TH Street Floor #2
Esther Ashkenas Central Park Early Learning Center
New York, NY 10023

Mailing address

15 West 65TH Street Floor #2
Esther Ashkenas Central Park Early Learning Center
New York, NY 10023
Phone (212) 787-5400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R044430NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1346569753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WEST 65TH STREET FLOOR #2",
            "address_2": "ESTHER ASHKENAS CENTRAL PARK EARLY LEARNING CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-787-5400",
            "fax_number": "212-787-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WEST 65TH STREET FLOOR #2",
            "address_2": "ESTHER ASHKENAS CENTRAL PARK EARLY LEARNING CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-787-5400",
            "fax_number": "212-787-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINEHELOE",
        "first_name": "WILLIAM",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R-LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.