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MR. KIRK CHISHOLM LCSW, MASTER CASAC
NPI 1619349180
Social Worker - Clinical in Brooklyn, NY

Active since October 23, 2015
15 2ND AVE, BROOKLYN, NY 11215(212) 966-9537(212) 584-5450 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2025, Jan 6, 2023, Jun 23, 2021 and 1 more (4 updates tracked since 2018).

About Mr. Kirk Chisholm Lcsw, Master Casac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KIRK CHISHOLM LCSW, MASTER CASAC (NPI 1619349180) is an individual clinical provider in Brooklyn, New York, licensed in New York (099544) and active in the NPI registry since October 2015. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1619349180
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KIRK CHISHOLMCredential: LCSW, MASTER CASAC
Location Address15 2ND AVEBrooklyn, NY 11215-2711
Mailing Address15 2nd AveBrooklyn, NY 11215-2711 · (212) 966-9537 · Fax (212) 584-5450
Phone(212) 966-9537
Fax(212) 584-5450
Sole ProprietorNo
Enumeration DateOctober 23, 2015
Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1619349180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 099544
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 21964 (NY)
Also ListedSocial WorkerTaxonomy 104100000X · License 101764 (NY)
15 2ND AVE, Brooklyn, NY 11215
Open in Google Maps ↗

Secondary Practice Location 1

Location 1138 E 26th St Fl 5New York, NY 10010-1899 · Phone (212) 966-9537 · Fax (212) 584-5450

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDACE MARIE ROBINSON
Counselor (Mental Health)
15 2ND AVE
BROOKLYN, NY 11215
Kings County (718) 514-6007
MS. ANTONIA-SOPHIA STELLA SCHOLZ MHC-LP
Counselor (Mental Health)
15 2ND AVE
BROOKLYN, NY 11215
Kings County (718) 514-6007
MISS MADGE ALEXORY SCHETTINI-JEANTY LMSW
Social Worker
15 2ND AVE
BROOKLYN, NY 11215
Kings County (718) 514-6007
RYAN ANDREW WADE CASAC
Counselor (Addiction (Substance Use Disorder))
15 2ND AVE
BROOKLYN, NY 11215
Kings County (718) 514-6007
MARJORIE ANNE DUPERRAY-MILLER
Counselor (Addiction (Substance Use Disorder))
15 2ND AVE
BROOKLYN, NY 11215
Kings County (718) 514-6007
DANIEL CARMELO PROFACI
Counselor (Mental Health)
15 2ND AVE
BROOKLYN, NY 11215
Kings County (718) 514-6007
MARKOS STAVROS AGATHOCLEOUS LMSW
Social Worker
15 2ND AVE
BROOKLYN, NY 11215
Kings County (718) 514-6007
ENIBOKUN SYLVIA OMO-OZIGBO
Social Worker (Clinical)
15 2ND AVE
BROOKLYN, NY 11215
Kings County (718) 514-6007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirk Chisholm's NPI number?

The NPI number for Kirk Chisholm is 1619349180. It was assigned to this individual provider in the NPPES registry on October 23, 2015.

Where is Kirk Chisholm located?

Kirk Chisholm practices at 15 2nd Ave, Brooklyn, NY 11215. The listed phone number is (212) 966-9537.

What is Kirk Chisholm's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kirk Chisholm was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.