Individual provider Active NPI

Yeshaya Kraus, LCSW

  • Social Worker
  • Far Rockaway, NY
National Provider Identifier
1629407978
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
089811-1
Practice address
1035 Bay 32ND St
Far Rockaway, NY 11691-1848
Phone
(917) 412-5824
NPI assigned
Nov 7, 2013
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X 089811-1 Primary

Addresses

Primary practice location

1035 Bay 32ND St
Far Rockaway, NY 11691-1848

Mailing address

1035 Bay 32ND St
Far Rockaway, NY 11691-1848
Phone (917) 412-5824

Other practice location 1

1035 Bay 32nd St
Far Rockaway, NY 11691-1848
Phone (917) 412-5824

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

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
I20230505000629 NY Practitioner - Clinical Social Worker 4688039134 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohel Children's Home and Family Services, Inc. Mental Health CurrentSince Jan 10, 2026 Accepting new patients
Ohel Children's Home and Family Services, Inc. CurrentSince Jan 10, 2026 Accepting new patients

Networks

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

Organizations & group practices 3

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1629407978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 BAY 32ND ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911848",
            "telephone_number": "917-412-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BAY 32ND ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911848",
            "telephone_number": "917-412-5824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Bay 32nd St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116911848",
            "country_code": "US",
            "telephone_number": "917-412-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "YESHAYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "089811-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.