Mr Kirk Chisholm, LMSW, MASTER CASAC is a
Social Worker based in New York, New York. Mr Kirk Chisholm is licensed to practice in New York (license number 101764) and his current practice location is
181 Canal St Fl 4, New York, New York. He can be reached at his office (for appointments etc.) via phone at
(212) 966-9537.
NPI number for Mr Kirk Chisholm is 1619349180 and his current mailing address is 394 Broadway Fl 4, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619349180.
Healthcare Provider's Profile
| Full Name | Mr Kirk Chisholm |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 181 Canal St Fl 4, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619349180
- Provider Enumeration Date: 10/23/2015
- Last Update Date: 01/06/2023
Medical Identifiers
Medical identifiers for Mr Kirk Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619349180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (New York) | Secondary |
| 104100000X | Social Worker | 101764 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kirk Chisholm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kirk Chisholm, LMSW, MASTER CASAC
394 Broadway Fl 4,
New York, NY 10013-6023
Ph: (212) 966-9537 | Mr Kirk Chisholm, LMSW, MASTER CASAC
181 Canal St Fl 4,
New York, NY 10013
Ph: (212) 966-9537 |
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