Individual provider Active NPI

Sharon Kourt, CSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1447298922
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071274-1 Issued in NY
Practice address
9201 4TH Ave
Brooklyn, NY 11209-7006
Phone
(718) 748-1234
Fax
(718) 748-0353
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 071274-1 NY Primary

Addresses

Primary practice location

9201 4TH Ave
Brooklyn, NY 11209-7006

Mailing address

9201 4TH Ave
Brooklyn, NY 11209-7006
Phone (718) 748-1234

Other identifiers 1

IdentifierTypeStateIssuer
071274-1OtherNYSTATE LICENSE

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
I20151001000303 NY Practitioner - Clinical Social Worker 7214245810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Canino LCSW Psychotherapy, PCGroup PAC ID 2961589577, 15 clinicians

Practice addresses (Care Compare)

70 Washington St
Apt 3C
Brooklyn, NY 11201-1443
Phone (718) 983-8872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071274-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Canino LCSW Psychotherapy PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

68 Jay St
Ste 620
Brooklyn, NY 11201
Phone (646) 362-9382

68 Jay St
Ste 311
Brooklyn, NY 11201
Phone (347) 560-8591

1082 Victory Blvd
Staten Island, NY 10301
Phone (718) 815-3500

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447298922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097006",
            "telephone_number": "718-748-1234",
            "fax_number": "718-748-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097006",
            "telephone_number": "718-748-1234",
            "fax_number": "718-748-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURT",
        "first_name": "SHARON",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071274-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "071274-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.