Lois S Kern, BA MSW PHD

Primary specialty

Art TherapistTaxonomy code 221700000X

License

SW14464

Practice address

800 Manor Road
Professional Suites #2V Kabbalah Missry Phys SW Group
Staten Island, NY 10314-7016

Phone

(347) 613-7836

Fax

(718) 761-5562

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Lois South Brooks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Doctor of Philosophy

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 and National Provider Directory roles.

• Universal Life Church Inc

  dba Kabbalah Nation Kingdom Canal Zone Usauk Scientist Inc

  • Religious Nonmedical Health Care Institution
  • Staten Island, NY
  • NPI 1780805721
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1770704595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 0891",
            "address_2": "KABBALAH NISSIONARY PHYS SW GROUP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103140891",
            "telephone_number": "718-720-0292",
            "fax_number": "718-761-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MANOR ROAD",
            "address_2": "PROFESSIONAL SUITES #2V KABBALAH MISSRY PHYS SW GROUP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147016",
            "telephone_number": "347-613-7836",
            "fax_number": "718-761-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "LOIS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "BA MSW PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "SW14464",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SW14464",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "SW14464",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "SW14464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "SOUTH BROOKS",
            "credential": "BA MSW PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Kenny, M.A., CCC-SLP
• Scott Michael Kenyon, DMD
• Roberta Keohane
• Reshma B. Kerkar, M.D.
• Elizabeth Kern, M.D.
• Keselman Podiatry PC
• Dmitriy Keselman, M.A.
• Edwin Keselman, PHARM. D.
• Julya A Keselman, DPM
• Yelena Keselman

• Art Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.