Kea M Carpenter, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078158-1 Issued in NY

Practice address

80 5TH Ave
Ste. 903a
New York, NY 10011-8002

Phone

(646) 283-7403

NPI assigned

Mar 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1972773083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 20TH ST",
            "address_2": "#2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098238",
            "telephone_number": "646-283-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE",
            "address_2": "STE. 903A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118002",
            "telephone_number": "646-283-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KEA",
        "middle_name": "M",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078158-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel John Carpenedo, MA, CCC-SLP
• Christina Carpenter, MD
• Dustin J Carpenter
• Elizabeth Carpenter, M.S., L.AC
• Hannah Carpenter
• Kenneth Michael Carpenter, PH.D.
• Rachel Carpenter, DO
• Alison Carper, PH.D.
• Matthew Carpiniello, MD
• Elizabeth Carpio, NP

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Mar 9, 2011; 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.