Virginia Theresa Kaiser, PH.D, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR028968-1 Issued in NY

Practice address

12 Woodlands Dr
Tuxedo Park, NY 10987-4811

Phone

(845) 753-5369

Fax

(845) 753-5369

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871644195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WOODLANDS DR",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874811",
            "telephone_number": "845-753-5369",
            "fax_number": "845-753-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WOODLANDS DR",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874811",
            "telephone_number": "845-753-5369",
            "fax_number": "845-753-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "VIRGINIA",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "PH.D, M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR028968-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00175200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02261503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Gottlieb, RPH
• Sarina Wasserman Gwirtzman, MA-CCC-SLP
• Miriam Hatenboer-Zehavi, LCSW
• Nasreen Kabeer, MD
• Sarfaraz Kabeer, M.D.
• Kazbay Medical PLLC
• Evan Kugel, DPT
• Brandon Labar, LMHC
• Garrett S. Lasalle, M.D.
• Liza Mammato

• Clinical Social Worker in Tuxedo Park, NY
• Providers in Tuxedo Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.