Ezra Yurman-Whyde, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095519 Issued in NY

Practice address

190 6TH Ave
Brooklyn, NY 11217-3561

Phone

(929) 530-7512

NPI assigned

May 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kull Individualized Psychotherapy Practice Counseling LCSW PC

  • Social Worker
  • New York, NY
  • NPI 1114605169
  NPD (past)
• Ryan M Kull Licensed Clinical Social Work LLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1487059523
  NPD (past)

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686355200000",
    "number": "1962086074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173561",
            "telephone_number": "929-530-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173561",
            "telephone_number": "929-530-7512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Clarkson Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032054",
            "country_code": "US",
            "telephone_number": "718-245-5054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YURMAN-WHYDE",
        "first_name": "EZRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2023-06-10",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107807",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri Fink Medical PC
• Yuriy Khanimov Internal Medicine PC
• Yuriy Kheyfits
• Yuriy Markhasin OT PC
• Inna Yurkovetskaya, MD
• Michael Yurman, RPH
• Cagri Yurtsever, MD
• Yury Kotlyar DDS PC
• Yury Rotshteyn DPM PC
• Yury Slepak DDS PC

• 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 Jun 10, 2023; 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.