Individual provider Active NPI

Goldy Kahn

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1972030179
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075635 Issued in NY
Practice address
1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone
(718) 787-1600
Fax
(718) 376-0206
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075635 NY Primary

Addresses

Primary practice location

1955 McDonald Ave
Brooklyn, NY 11223-1805

Mailing address

1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone (718) 787-1600

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
075635NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Community Service Network, Inc. CurrentSince Jul 24, 2022 Accepting new patients

Locations

1955 McDonald Ave
Brooklyn, NY 11223
Phone (718) 787-1600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972030179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231805",
            "telephone_number": "718-787-1600",
            "fax_number": "718-376-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231805",
            "telephone_number": "718-787-1600",
            "fax_number": "718-376-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "GOLDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.