Individual provider Active NPI

Sharon Kivell, CSW

  • Clinical Social Worker
  • Great Neck, NY
National Provider Identifier
1821167024
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R041725-1 Issued in NY
Practice address
34 Elm St
Great Neck, NY 11021-1941
Phone
(516) 829-6269
Fax
(516) 487-7218
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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 R041725-1 NY Primary

Addresses

Primary practice location

34 Elm St
Great Neck, NY 11021-1941

Mailing address

34 Elm St
Great Neck, NY 11021-1941
Phone (516) 829-6269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060216000082 NY Practitioner - Clinical Social Worker 3274548912 Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

34 Elm St
Great Neck, NY 11021-1941
Phone (516) 455-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R041725-1NYMDClinical Social Worker
041725NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1821167024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ELM ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211941",
            "telephone_number": "516-829-6269",
            "fax_number": "516-487-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 ELM ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211941",
            "telephone_number": "516-829-6269",
            "fax_number": "516-487-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVELL",
        "first_name": "SHARON",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041725-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.