Individual provider Active NPI

Karlie S Goldstein, LCSW

  • Clinical Social Worker
  • Hartsdale, NY
National Provider Identifier
1508110610
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085467 Issued in NY
Practice address
111 N Central Ave Ste 360
Hartsdale, NY 10530-1943
Phone
(845) 492-1632
NPI assigned
Oct 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 0806571 NY
Clinical Social Worker 1041C0700X 085467 NY Primary

Addresses

Primary practice location

111 N Central Ave Ste 360
Hartsdale, NY 10530-1943

Mailing address

111 N Central Ave Ste 360
Hartsdale, NY 10530-1943
Phone (845) 492-1632

Other practice location 1

160 W 86th St
New York, NY 10024-4018
Phone (212) 362-8755

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
I20190131002239 NY Practitioner - Clinical Social Worker 6709123532 Practice locations: Hartsdale, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 N Central Ave
Suite 360
Hartsdale, NY 10530-1943
Phone (845) 492-1632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0806571NYMDSocial Worker
085467NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karlie Goldstein, LCSW Clinical CurrentSince Dec 26, 2017 Accepting new patients

Locations

111 N Central Ave
Ste 360
Hartsdale, NY 10530
Phone (845) 492-1632

280 Dobbs Ferry Rd
Ste 200
White Plains, NY 10607
Phone (845) 492-1632

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": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1508110610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N CENTRAL AVE STE 360",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301943",
            "telephone_number": "845-492-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N CENTRAL AVE STE 360",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301943",
            "telephone_number": "845-492-1632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 W 86th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100244018",
            "country_code": "US",
            "telephone_number": "212-362-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "KARLIE",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0806571",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.