Active NPI
Carl Nelke, MA, LCSW
- Clinical Social Worker
- Nyc, NY
National Provider Identifier
1780806265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO52266-1
- Practice address
- 400 W. 55TH Street, PH a
Nyc, NY 10011 - Phone
- (212) 501-2690
- NPI assigned
- May 3, 2007
- Last updated
- Jan 30, 2009
- Sex
- Male
- 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 | RO52266-1 | NY | Primary |
Addresses
Primary practice location
400 W. 55TH Street, PH a
Nyc, NY 10011
Mailing address
PO Box 20216
Nyc, NY 10011
Phone (212) 501-2690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 17, 2024 through Nov 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO52266-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1780806265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20216",
"city": "NYC",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-501-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W. 55TH STREET, PH A",
"city": "NYC",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-501-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELKE",
"first_name": "CARL",
"name_prefix": "Mr.",
"credential": "MA, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO52266-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nyc, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.