Kirk Chisholm, LCSW, MASTER CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

099544 Issued in NY

Practice address

15 2ND Ave
Brooklyn, NY 11215-2711

Phone

(212) 966-9537

Fax

(212) 584-5450

NPI assigned

Oct 23, 2015

Last updated

Sep 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

• Revcore Recovery Center of Manhattan

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1467027342
  NPD (past)
• Revcore Recovery Center of Manhattan, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1134593510
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1619349180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 2ND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152711",
            "telephone_number": "212-966-9537",
            "fax_number": "212-584-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 2ND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152711",
            "telephone_number": "212-966-9537",
            "fax_number": "212-584-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 E 26th St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100101899",
            "country_code": "US",
            "telephone_number": "212-966-9537",
            "fax_number": "212-584-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "KIRK",
        "name_prefix": "Mr.",
        "credential": "LCSW, MASTER CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-23",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "21964",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "101764",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Longevity PC
• Chiropractic of Brooklyn Heights, LLC (Marc Kaplan, DC)
• Chiropractic Quality Care PC
• Dwan Chisholm
• Gwendolyn Chisholm
• Chitra Chitale, FNP
• Pavani Chitamanni, MD
• Maneesha Chitanvis
• Nisha Beth Chitkara, PHD
• Aunp Chitnis, M.D.

• 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 Sep 24, 2025; 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.