Individual provider Active NPI

Hyun Hee Kang, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1487153722
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093256 Issued in NY
Practice address
274 Madison Ave
Suite 1501
New York, NY 10016
Phone
(212) 203-1773
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 102175 NY
Clinical Social Worker 1041C0700X 093256 NY Primary

Addresses

Primary practice location

274 Madison Ave
Suite 1501
New York, NY 10016

Mailing address

274 Madison Ave
Suite 1501
New York, NY 10016

Other practice location 1

24302 Northern Blvd
Douglaston, NY 11362-1150
Phone (718) 423-6200

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
I20230427000705 NY Practitioner - Clinical Social Worker 7517322563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rivia Medical PLLCGroup PAC ID 4880009943, 67 clinicians

Practice addresses (Care Compare)

274 Madison Ave
RM 1501
New York, NY 10016-0701
Phone (212) 203-1773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102175NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rivia Medical PLLC Clinical CurrentSince Apr 17, 2023 Accepting new patients
Rivia Medical PLLC CurrentSince Apr 23, 2023 Accepting new patients

Locations

401 New Karner Rd
Ste 301
Albany, NY 12205
Phone (212) 203-1173

274 Madison Ave
Rm 1501
New York, NY 10016
Phone (212) 202-1773

350 East Ave
Ste 203
Rochester, NY 14604

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1487153722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE",
            "address_2": "SUITE 1501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE",
            "address_2": "SUITE 1501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-203-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24302 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Douglaston",
            "state": "NY",
            "postal_code": "113621150",
            "country_code": "US",
            "telephone_number": "718-423-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "HYUN",
        "middle_name": "HEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102175",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.