Kenneth Martin Vale, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-058647 Issued in NY

Practice address

26 Court St Ste 712
Brooklyn, NY 11242-1107

Phone

(917) 685-4750

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• St. Vincent'S Mental Health Services

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1235359662
  NPD (past)
• St. Vincent'S Services

  • Foster Care Agency
  • Brooklyn, NY
  • NPI 1972828135
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922166990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 DEGRAW ST APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172948",
            "telephone_number": "718-625-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 712",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421107",
            "telephone_number": "917-685-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALE",
        "first_name": "KENNETH",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-058647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "157415P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2199099",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoebe Elizabeth Valdez, PA-C
• Jennifer Valdivieso, MSW
• Sonia Valdiviezo
• Sonia Valdiviezo, P.A.
• Jeannett Valdovinos
• Lavonne Junita Valembrun, M.D.
• Miguel Aleman Valembrun
• Valencia Home Healthcare Inc
• Valencia Pharmacy Corp
• Dahiana Valencia

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.