Kirsten Alissa Eid, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

097019 Issued in NY

Practice address

40 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-2903

Phone

(718) 215-1818

NPI assigned

May 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1528634763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ELM ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455228",
            "telephone_number": "763-807-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903",
            "telephone_number": "718-215-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EID",
        "first_name": "KIRSTEN",
        "middle_name": "ALISSA",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "127895",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://callen-lorde.org/",
            "affiliation": "N",
            "endpointDescription": "company website",
            "address_1": "40 Flatbush Avenue Ext Fl 3",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112012903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Eichler, IBCLC
• Shoshanna Eichler
• Stephanie Eichler, LMSW
• Wendi P Eichner, M.S., CCC-SLP
• Nechama Eichorn, MS, CCC/SLP
• Mahmoud Eid, MD
• Mahmoud Abdelhamed Eid, PT
• Russell Eida
• Mina J Eide, PH.D.
• Susan Eidlisz-Stern

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.