Fortune Leah Kishik

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4111 18TH Ave
Brooklyn, NY 11218-5894

Phone

(347) 257-3255

NPI assigned

Jul 12, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1366014185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 E 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185894",
            "telephone_number": "347-257-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHIK",
        "first_name": "FORTUNE",
        "middle_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri Kiselev
• Ksenia Kiseleva, RN BSN
• Zinaida Kiseleva
• Michael Kiselow, O.D.
• Abigail Kiselyuk
• Rajiv Kishinchand
• Inna Kishinevskaya, PHARMACIST
• Debra Kishinevsky
• Mariya Kishkina, LMHC
• Jeffrey M Kishner, LMHC

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Jul 12, 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.