Individual provider Active NPI

Kathryn B. Chernack, DSW

  • Clinical Social Worker
  • Garden City, NY
National Provider Identifier
1710037239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR025884 Issued in NY
Practice address
233 7TH St
2ND FL, Suite 200 #3
Garden City, NY 11530-5747
Phone
(516) 594-0528
Fax
(516) 594-9552
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR025884 NY Primary

Addresses

Primary practice location

233 7TH St
2ND FL, Suite 200 #3
Garden City, NY 11530-5747

Mailing address

383 Raymond St
Rockville Centre, NY 11570-2735
Phone (516) 594-0528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PR025884NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710037239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 RAYMOND ST",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702735",
            "telephone_number": "516-594-0528",
            "fax_number": "516-594-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 7TH ST",
            "address_2": "2ND FL, SUITE 200 #3",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305747",
            "telephone_number": "516-594-0528",
            "fax_number": "516-594-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNACK",
        "first_name": "KATHRYN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR025884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.