Individual provider Active NPI

Carl Kent, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1861717472
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071953 Issued in NY
Practice address
2640 Pitkin Ave
Brooklyn, NY 11208-2629
Phone
(718) 827-8700
Fax
(718) 827-8848
NPI assigned
Apr 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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 071953 NY Primary

Addresses

Primary practice location

2640 Pitkin Ave
Brooklyn, NY 11208-2629

Mailing address

2640 Pitkin Ave
Brooklyn, NY 11208-2629
Phone (718) 827-8700

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
I20200911002064 NY Practitioner - Clinical Social Worker 9931527637 Practice locations: Bronx, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 Debs PL
Bronx, NY 10475-2537

1560 Pelham Pkwy S
1Q
Bronx, NY 10461-1139
Phone (917) 374-4285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071953NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1861717472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082629",
            "telephone_number": "718-827-8700",
            "fax_number": "718-827-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082629",
            "telephone_number": "718-827-8700",
            "fax_number": "718-827-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "CARL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.