Individual provider Active NPI

Kristen V Hahn, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1821671264
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092376 Issued in NY
Practice address
1125 Fulton St Ste 2
Brooklyn, NY 11238-2669
Phone
(347) 226-9025
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 103770 NY
Clinical Social Worker 1041C0700X 092376 NY Primary

Addresses

Primary practice location

1125 Fulton St Ste 2
Brooklyn, NY 11238-2669

Mailing address

689 Myrtle Ave Apt 2I
Brooklyn, NY 11205-3988
Phone (607) 321-1441

Other practice location 1

1125 Fulton Street
2nd Floor
Brooklyn, NY 11238
Phone (347) 226-9025

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
I20220103001696 NY Practitioner - Clinical Social Worker 6204227150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103770NYMDSocial Worker
092376NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sus Mental Health Programs, Inc. Clinical CurrentSince Nov 25, 2021 Accepting new patients

Locations

1125 Fulton St
Ste 2
Brooklyn, NY 11238
Phone (347) 226-9025

463 Fashion Ave
Fl 17
New York, NY 10018
Phone 64656558165816

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1821671264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 MYRTLE AVE APT 2I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053988",
            "telephone_number": "607-321-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 FULTON ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382669",
            "telephone_number": "347-226-9025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Fulton Street",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11238",
            "country_code": "US",
            "telephone_number": "347-226-9025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "KRISTEN",
        "middle_name": "V",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103770",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.