Linda Karen Kirk, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R028371 Issued in NY

Practice address

8 Reeves Rd
Port Jefferson, NY 11717

Phone

(631) 473-0689

NPI assigned

Sep 28, 2007

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

Other names 1

• Linda Karen Sommer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lighthouse International

  • Clinic/Center
  • White Plains, NY
  • NPI 1851346936
  NPD (past)

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1538356019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 REEVES RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-473-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 REEVES RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-473-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "LINDA",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R028371",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SOMMER",
            "middle_name": "KAREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Kiho Kim, MD
• Misook Kim
• Ted Ilhyun Kim
• Debra Joan Kingsley, MENTAL HEALTH COUNSE
• Gary John Kingsley, PH.D.
• Rebecca C Kirschner, CCC
• KK NP in Adult Health LLP
• Robert Klare, PT, CHT
• Joel Kleinberg, MD
• Roger A Kleinman, DDS

• Social Worker in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.