Kathleen Bronner Fiks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R006078 Issued in NY

Practice address

10848 70TH Rd
Forest Hills, NY 11375-3961

Phone

(718) 261-3696

Fax

(201) 568-4494

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881794907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 GLENWOOD RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701135",
            "telephone_number": "201-569-1819",
            "fax_number": "201-568-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10848 70TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753961",
            "telephone_number": "718-261-3696",
            "fax_number": "201-568-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKS",
        "first_name": "KATHLEEN",
        "middle_name": "BRONNER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R006078",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00090300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS VALUE OPTIONS",
            "identifier": "053065",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P582628",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVIRAL",
            "identifier": "7485794V",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0082408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ficalora, MS MPS ATR
• Nicole Ficano
• Anna Fieldman, M.D.
• Amanda Figueroa-Valentin
• Ariel Figueroa, MD
• Fil-Care PT, P.C.
• Evelyn Filpo, NURSE PRACTITIONER
• Rhonda Findling, MA,CRC
• Finest Physical Therapy PC
• Daniel Fink, DDS

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, 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 8, 2007; 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.