Individual provider Active NPI

Daniel Kronenberg, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1619487139
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
85655 Issued in NY
Practice address
150 W End Ave Apt 4K
New York, NY 10023-5734
Phone
(914) 588-2373
NPI assigned
Oct 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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 85655 NY Primary

Addresses

Primary practice location

150 W End Ave Apt 4K
New York, NY 10023-5734

Mailing address

150 W End Ave Apt 4K
New York, NY 10023-5734
Phone (914) 588-2373

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
I20240822002708 NY Practitioner - Clinical Social Worker 5294274262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Canino LCSW Psychotherapy, PCGroup PAC ID 2961589577, 15 clinicians

Practice addresses (Care Compare)

70 Washington St
Apt 3C
Brooklyn, NY 11201-1443
Phone (718) 983-8872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85655NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Canino LCSW Psychotherapy PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

68 Jay St
Ste 620
Brooklyn, NY 11201
Phone (646) 362-9382

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": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1619487139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W END AVE APT 4K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235734",
            "telephone_number": "914-588-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W END AVE APT 4K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235734",
            "telephone_number": "914-588-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENBERG",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "85655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.