Active NPI
Laura J Kleinman, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1376637934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 077130
- Practice address
- 77 Fulton St
Apt 25N
New York, NY 10038-1864 - Phone
- (917) 617-0055
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 077130 | NY | Primary |
Addresses
Primary practice location
77 Fulton St
Apt 25N
New York, NY 10038-1864
Mailing address
77 Fulton St
Apt 25N
New York, NY 10038-1864
Phone (917) 617-0055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 28, 2025 through Oct 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1376637934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 FULTON ST",
"address_2": "APT 25N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100381864",
"telephone_number": "917-617-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 FULTON ST",
"address_2": "APT 25N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100381864",
"telephone_number": "917-617-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINMAN",
"first_name": "LAURA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077130",
"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 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.