Brooke Alison Kalman, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

091032 Issued in NY

Practice address

31 Industrial Blvd
Medford, NY 11763-2220

Phone

(631) 924-4411

NPI assigned

Jun 4, 2014

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Suffolk

  dba Suffolk County Department of Health Services

  • Public Health or Welfare Agency
  • Great River, NY
  • NPI 1285750737
  Medicare reassignment NPD
• County of Suffolk

  • Methadone Clinic
  • Smithtown, NY
  • NPI 1649374851
  NPD
• Suffolk County Dept of Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverhead, NY
  • NPI 1104920313
  NPD
• Seafield Center

  • Community/Behavioral Health Agency
  • Amityville, NY
  • NPI 1194141887
  NPD (past)
• The Yaphank Center

  • Community/Behavioral Health Agency
  • Medford, NY
  • NPI 1790147411
  NPD (past)

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1376956623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 INDUSTRIAL BLVD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632220",
            "telephone_number": "631-924-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 INDUSTRIAL BLVD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632220",
            "telephone_number": "631-924-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 John St",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "117012930",
            "country_code": "US",
            "telephone_number": "631-424-2900 x1523",
            "fax_number": "631-608-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALMAN",
        "first_name": "BROOKE",
        "middle_name": "ALISON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091032",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Barry Kahn, D.M.D.
• Kahn,Kahn,Kahn (Kahn,Kahn,Kahn & Hludzinski)
• Kelsey Rose Kalafut, LMSW
• Delores Kalakowski
• Mary Diane Kalkhof, LPN
• Kami Quinn Medical Doctor PLLC
• Valsamma T Kandathil, MD
• Jae Kang
• John Karahalis
• Amanda Elizabeth Kearns, MS SLP

• Social Worker in Medford, NY
• Providers in Medford, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.