Individual provider Active NPI

Trevor Kalman

  • Social Worker
  • Riverhead, NY
National Provider Identifier
1881013423
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
72091303 Issued in NY
Practice address
1750 W Main St Apt H16
Riverhead, NY 11901-3153
Phone
(631) 214-6083
NPI assigned
Apr 10, 2014
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 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 72091303 NY Primary
Clinical Social Worker 1041C0700X 090645 NY

Addresses

Primary practice location

1750 W Main St Apt H16
Riverhead, NY 11901-3153

Mailing address

1750 W Main St Apt H16
Riverhead, NY 11901-3153
Phone (631) 214-6083

Other identifiers 1

IdentifierTypeStateIssuer
104100000XMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
72091303NYMDSocial Worker
090645NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kalman LCSW PLLC Clinical CurrentSince Feb 23, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sohomd.trevorkalman@157389.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1881013423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W MAIN ST APT H16",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013153",
            "telephone_number": "631-214-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W MAIN ST APT H16",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013153",
            "telephone_number": "631-214-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMAN",
        "first_name": "TREVOR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72091303",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104100000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.