Individual provider Active NPI

Michele Rose Kleiman, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1558414581
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072676-1 Issued in NY
Practice address
2454 E 14TH St
Brooklyn, NY 11235-3902
Phone
(718) 288-8883
Fax
(718) 646-1712
NPI assigned
Jan 21, 2007
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072676-1 NY Primary

Addresses

Primary practice location

2454 E 14TH St
Brooklyn, NY 11235-3902

Mailing address

54 Stony Hill Dr
Morganville, NJ 07751-1179
Phone (718) 288-8883

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
I20130419000175 NY Practitioner - Clinical Social Worker 9830335710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072676-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters LCSW PC CurrentSince Dec 1, 2012 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1558414581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 STONY HILL DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511179",
            "telephone_number": "718-288-8883",
            "fax_number": "718-646-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353902",
            "telephone_number": "718-288-8883",
            "fax_number": "718-646-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIMAN",
        "first_name": "MICHELE",
        "middle_name": "ROSE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072676-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.