Individual provider Active NPI

Clifford P Frank, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1386877553
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070640 Issued in NY
Practice address
585 Schenectady Ave
Psychiatry Department
Brooklyn, NY 11203-1891
Phone
(718) 604-4795
Fax
(718) 604-5468
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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 070640 NY Primary

Addresses

Primary practice location

585 Schenectady Ave
Psychiatry Department
Brooklyn, NY 11203-1891

Mailing address

585 Schenectady Ave
Psychiatry Department
Brooklyn, NY 11203-1891
Phone (718) 604-5239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070640NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates PC Past Accepting new patients
Kingsbrook Medical Associates, PC Past Accepting new patients

Organizations & group practices 2

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": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1386877553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 SCHENECTADY AVE",
            "address_2": "PSYCHIATRY DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031891",
            "telephone_number": "718-604-5239",
            "fax_number": "718-604-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SCHENECTADY AVE",
            "address_2": "PSYCHIATRY DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031891",
            "telephone_number": "718-604-4795",
            "fax_number": "718-604-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "CLIFFORD",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.