Organization Active NPI

Multigenerational LCSW Services PLLC

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1417485467
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115144 Issued in NY
Legal business name
MULTIGENERATIONAL LCSW SERVICES PLLC
Practice address
24 Larrison Loop
Staten Island, NY 10314-5086
Phone
(347) 699-6346
Fax
(516) 706-2150
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Authorized official

Name
Christopher Kam, LCSW-R
Title
Owner
Phone
(347) 699-6346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 115144 NY Primary

Addresses

Primary practice location

24 Larrison Loop
Staten Island, NY 10314-5086

Mailing address

24 Larrison Loop
Staten Island, NY 10314-5086
Phone (347) 699-6346

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496361600000",
    "number": "1417485467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LARRISON LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145086",
            "telephone_number": "347-699-6346",
            "fax_number": "516-706-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LARRISON LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145086",
            "telephone_number": "347-699-6346",
            "fax_number": "516-706-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIGENERATIONAL LCSW SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A",
        "authorized_official_last_name": "KAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-699-6346",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "115144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.