Individual provider Active NPI

Solomon Kernkraut, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1386036242
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093045-01 Issued in NY
Practice address
1426 39TH St
Brooklyn, NY 11218-3618
Phone
(718) 854-1800
NPI assigned
Mar 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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 093045-01 NY Primary

Addresses

Primary practice location

1426 39TH St
Brooklyn, NY 11218-3618

Mailing address

1161 44TH St
Brooklyn, NY 11219-1834
Phone (929) 244-0413

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250307000036 NY Practitioner - Clinical Social Worker 0143741082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093045-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Assistance Resources & Extended Services Inc CurrentSince Feb 20, 2025 Accepting new patients

Locations

465 Grand St
New York, NY 10002
Phone (212) 420-1970

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1386036242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 44TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191834",
            "telephone_number": "929-244-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 39TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183618",
            "telephone_number": "718-854-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNKRAUT",
        "first_name": "SOLOMON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-02",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093045-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.