Clive Henry Kerr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074763 Issued in NY

Practice address

1329 Beach Channel Dr
Far Rockaway, NY 11691-3211

Phone

(718) 337-6850

Fax

(718) 868-3782

NPI assigned

May 21, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Transitional Services for New York, Inc

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1457418337
  NPD (past)
• Transitional Services for New York,Inc.

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1861644148
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1639304439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913211",
            "telephone_number": "718-337-6850",
            "fax_number": "718-868-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913211",
            "telephone_number": "718-337-6850",
            "fax_number": "718-868-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "CLIVE",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raizel Keilson, LCSW
• Ginamarie Kelly, LCSW
• Marie Lovel Kemp
• Patrick X Kemp, LICENSED PRACTICAL N
• Kenijah Kennedy
• Diana Khaimov, PA
• Leena Mutasim Mohamed Khalafalla
• Maheen Khan, PHARM.D.
• Mahfuza Afreen Khan, MD
• Nosheen Khan, DPM

• Clinical Social Worker in Far Rockaway, NY
• Providers in Far Rockaway, 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 Mar 30, 2011; 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.