Active NPI
Desiree L Kabore, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1558034868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101724
- Practice address
- 203 Jay St Ste 105
Brooklyn, NY 11201-4398 - Phone
- (347) 304-9465
- NPI assigned
- Aug 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 101724 | NY | Primary |
| Social Worker | 104100000X | 113201 | NY | |
| Social Worker | 104100000X | SW137731 | PA |
Addresses
Primary practice location
203 Jay St Ste 105
Brooklyn, NY 11201-4398
Mailing address
667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
203 Jay St
Suite 501
Brooklyn, NY 11201-4398
Phone (347) 304-9465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113201 | NY | MD | Social Worker |
| SW137731 | PA | MD | Social Worker |
| 101724 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Clinical | Current | Accepting new patients |
Locations
203 Jay St
Ste 501
Brooklyn, NY 11201
Phone (347) 304-9465
667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223
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": "1627776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1558034868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 STONELEIGH AVE STE 202",
"city": "CARMEL",
"state": "NY",
"postal_code": "105122455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 JAY ST STE 105",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014398",
"telephone_number": "347-304-9465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABORE",
"first_name": "DESIREE",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-01",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "101724",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "113201",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW137731",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.