KC LCSW, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KC LCSW, P.C.

Practice address

71 Elizabeth Dr
Bethpage, NY 11714-6434

Phone

(631) 406-9886

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Kim Callahan, LCSWNPI 1982254926

Title

LCSW

Phone

(631) 406-9886

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kim Callahan

  • Clinical Social Worker
  • Bethpage, NY
  • NPI 1982254926
  Authorized official Same address or phone

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1376315663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ELIZABETH DR",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117146434",
            "telephone_number": "631-406-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ELIZABETH DR",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117146434",
            "telephone_number": "631-406-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "631-406-9886",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanita S Kaul, MD
• Amandeep Kaur
• Harjyot Kaur
• Mandeep Kaur, DNP FNP-BC
• Navneet Kaur, M.D.
• Lauren N Keller, MS, PA-C
• Patrick John Kelley, D.C.
• Richard Kessler, D.O.
• Brendan J. Keys, NP
• Abdus S Khan, MD

• Clinical Social Worker in Bethpage, NY
• Providers in Bethpage, 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 Oct 30, 2023; 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.