Rebecca Julia Kavoussi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088669 Issued in NY

Practice address

230 W 17TH St
New York, NY 10011-5325

Phone

(212) 206-5200

NPI assigned

Dec 11, 2015

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1730554056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115325",
            "telephone_number": "212-206-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115325",
            "telephone_number": "212-206-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108-19 Rockaway Blvd",
            "address_purpose": "LOCATION",
            "city": "ozone park",
            "state": "NY",
            "postal_code": "11420",
            "country_code": "US",
            "telephone_number": "718-845-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVOUSSI",
        "first_name": "REBECCA",
        "middle_name": "JULIA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavita Sharma MD PLLC
• Richard S Kavner, O.D.
• Rose F Kavo, LCSW
• Kyriaki Kavourias, PA
• Nazanin Adriana Kavoussi, LCSW, CASAC
• Hymavati Kavuri
• Fnu Kavya Mohandas
• Kristine Kaw, NP-C
• Lay H Kaw, PHARM.D.
• Hisaaki Ken Kawabata, MD

• Clinical Social Worker in New York, NY
• Providers in New York, 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 May 7, 2020; 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.