Individual provider Active NPI

Jesse Kahn, LCSW-R, CST

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1427464676
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085142-1 Issued in NY
Practice address
850 7TH Ave
New York, NY 10019-5230
Phone
(646) 389-6561
NPI assigned
Jul 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW023775 PA
Clinical Social Worker 1041C0700X 085142-1 NY Primary

Addresses

Primary practice location

850 7TH Ave
New York, NY 10019-5230

Mailing address

850 7TH Ave Ste 1106
New York, NY 10019-0029
Phone (646) 797-4340

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
I20210514000788 NY Practitioner - Clinical Social Worker 5193134534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085142NYMDSocial Worker
085142-1NYMDClinical Social Worker
CW023775PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jesse Kahn LCSW PLLC CurrentSince Apr 26, 2021 Accepting new patients
Anchor Counseling LCSW PLLC Clinical Current Accepting new patients

Locations

850 7th Ave
Ste 706
New York, NY 10019
Phone (212) 262-2850

850 7th Ave
Ste 1106
New York, NY 10019
Phone (646) 797-4340

260 Madison Ave
Fl 8
New York, NY 10016
Phone (212) 470-7264

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1427464676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 7TH AVE STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100190029",
            "telephone_number": "646-797-4340",
            "fax_number": "646-205-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195230",
            "telephone_number": "646-389-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "JESSE",
        "credential": "LCSW-R, CST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023775",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085142-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.