Active NPI
Kathryn B. Chernack, DSW
- Clinical Social Worker
- Garden City, NY
National Provider Identifier
1710037239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR025884
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PR025884 | NY | MD | Clinical 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.