Lisa Jody Kahn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6800 Jericho Tpke
Suite120W
Syosset, NY 11791-1179

Phone

(516) 350-3975

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Mindful Clarity Psychotherapy LCSW, PLLC

  • Clinical Social Worker
  • Syosset, NY
  • NPI 1700664786
  Medicare reassignment NPD Authorized official
• Samaritan Pediatric Services, P.C.

  • Pediatrics Physician
  • Babylon, NY
  • NPI 1730308925
  NPD (past)
• Sco Family of Services Dba Madonna Heights Service Clinic

  • Physical Disabilities Residential Treatment Facility
  • Garden City, NY
  • NPI 1992801062
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1427604859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MICHAEL DR STE 105",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915311",
            "telephone_number": "516-350-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 JERICHO TPKE",
            "address_2": "SUITE120W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117911179",
            "telephone_number": "516-350-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "LISA",
        "middle_name": "JODY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Juarez
• Brian Jung
• Michele Roberta Kabas, LCSW
• Jaydeep Shivaji Kadam, M.D.
• Edith Kagan, M.D.
• Mark Robert Kahn
• Sandy Allen Kahn, MD
• Tamara R Kahn, PHD
• Lenore Beth Kahne, M.S.
• Stefanie Beth Kaley, PH.D.

• Clinical Social Worker in Syosset, NY
• Providers in Syosset, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.