- Practice location
- 15 2ND Ave, Brooklyn, NY 11215-2711
- Phone
- 212-966-9537
- Fax
- 212-584-5450
- Last updated
- September 24, 2025
Kirk Chisholm is a Social Worker, Clinical based in Brooklyn, NY. Kirk Chisholm practices in Brooklyn, NY and has the professional credentials of LCSW, MASTER CASAC. The NPI Number for Kirk Chisholm is 1619349180 and holds a License No. 101764 (NY). The current practice location address for Kirk Chisholm is 15 2ND Ave, Brooklyn, NY 11215-2711 and can be reached out via phone at 212-966-9537 and via fax at 212-584-5450.
Provider Profile Details
- NPI Number
- 1619349180
- Provider Name
- Kirk Chisholm
- Credential
- LCSW, MASTER CASAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 2ND Ave, Brooklyn, NY 11215-2711
- Phone Number
- 212-966-9537
- Fax Number
- 212-584-5450
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 23, 2015
- Last Update Date
- September 24, 2025
- Certification Date
- September 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 2ND Ave
Brooklyn, NY 11215-2711 - City
- Brooklyn
- State
- New York
- Zip
- 11215-2711
- Phone Number
- 212-966-9537
- Fax Number
- 212-584-5450
Provider Business Mailing Address Details
- Address
- 15 2ND Ave
Brooklyn, NY 11215-2711 - City
- Brooklyn
- State
- NY
- Zip
- 11215-2711
- Phone Number
- 212-966-9537
- Fax Number
- 212-584-5450
License Information
- License Number (1)
- 101764
- License State (1)
- NY
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 21964
- License State (2)
- NY
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (3)
- 099544
- License State (3)
- NY
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Brooklyn, NY
View all Social Worker, Clinical providers in Brooklyn →- Allison Maury, LCSWSocial Worker, Clinical · NPI 1811432693
- Andrea Brown, LCSWSocial Worker, Clinical · NPI 1164792149
- Andrew GonzalezSocial Worker, Clinical · NPI 1386462257
- Andrew Mouldovan, LCSWSocial Worker, Clinical · NPI 1033415625
- Angela Angelis, LCSWSocial Worker, Clinical · NPI 1366980732
- Anna S Krayn PHD PCSocial Worker, Clinical · NPI 1174698872
Frequently Asked Questions
What is the NPI number of Mr. Kirk Chisholm, LCSW, MASTER CASAC?
The NPI number of Mr. Kirk Chisholm, LCSW, MASTER CASAC is 1619349180. It was assigned on October 23, 2015 and is currently active in the NPPES registry.
What is the specialty of Mr. Kirk Chisholm, LCSW, MASTER CASAC?
Mr. Kirk Chisholm, LCSW, MASTER CASAC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 101764.
Where does Mr. Kirk Chisholm, LCSW, MASTER CASAC practice?
The practice location is 15 2ND Ave, Brooklyn, NY 11215-2711. The office can be reached at 212-966-9537 (phone) or 212-584-5450 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619349180 directly on the NPPES registry website.