Individual provider Active NPI

Kiran P Miner, LCSWR

  • Clinical Social Worker
  • Goshen, NY
National Provider Identifier
1629232426
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R073142-1 Issued in NY
Practice address
3 Coates Dr Ste 8
Goshen, NY 10924-6765
Phone
(845) 291-0999
NPI assigned
Jul 11, 2008
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 R073142-1 NY Primary

Addresses

Primary practice location

3 Coates Dr Ste 8
Goshen, NY 10924-6765

Mailing address

265 Steep Hill Rd
Beach Lake, PA 18405-4004
Phone (845) 649-7280

Other practice location 1

20 Community Ln
Liberty, NY 12754-2851
Phone (845) 292-8770 ext. 4025

Other practice location 2

155 N Main St Ste 4
Liberty, NY 12754-1864
Phone (845) 444-2995

Other names 1

  • Prof. Kiran P Miner Other name

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
I20200406000074 NY Practitioner - Clinical Social Worker 5991134413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calm Seas Psychotherapy LCSW PLLCGroup PAC ID 9830425867, 5 clinicians

Practice addresses (Care Compare)

11700 Main Rd
Suite 1
Mattituck, NY 11952-1525
Phone (888) 975-2256

28 N Country Rd
Suite 203
Mount Sinai, NY 11766-1518
Phone (888) 975-2256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R073142-1NYMDClinical Social Worker
073142NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Seas Psychotherapy, LCSW,PLLC Clinical CurrentSince Jan 29, 2020 Accepting new patients
Heal Safe Inc Clinical Past Accepting new patients
Stress Reduction and Psychological Services, PC PastSince Nov 4, 2008 Accepting new patients
Mary Kathleen Martin Nurse Practitioner in Psychiatry, PLLC PastSince Sep 1, 2022 Accepting new patients

Locations

155 N Main St
Liberty, NY 12754
Phone (607) 930-4426

155 N Main St
Ste 4
Liberty, NY 12754
Phone (845) 444-2995

11700 Main Rd
Ste 1
Mattituck, NY 11952
Phone (631) 624-7839

28 N Country Rd
Ste 203
Mount Sinai, NY 11766
Phone (888) 975-2256

Organizations & group practices 4

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1629232426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 STEEP HILL RD",
            "city": "BEACH LAKE",
            "state": "PA",
            "postal_code": "184054004",
            "telephone_number": "845-649-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COATES DR STE 8",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246765",
            "telephone_number": "845-291-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Community Ln",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NY",
            "postal_code": "127542851",
            "country_code": "US",
            "telephone_number": "845-292-8770 x4025",
            "fax_number": "845-292-4206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 N Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NY",
            "postal_code": "127541864",
            "country_code": "US",
            "telephone_number": "845-444-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINER",
        "first_name": "KIRAN",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R073142-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRAN",
            "last_name": "MINER",
            "middle_name": "P",
            "prefix": "PROF.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.