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KYOKO KAMISHIMA
NPI 1811272784
Social Worker - Clinical in Bronx, NY

Active since October 11, 2011Opted out of Medicare · through May 9, 2028
5676 RIVERDALE AVENUE, STE 202, BRONX, NY 10471(718) 796-5300(718) 548-1161 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyoko Kamishima NPPES

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

KYOKO KAMISHIMA (NPI 1811272784) is an individual clinical provider in Bronx, New York and active in the NPI registry since October 2011. She has opted out of Medicare through May 9, 2028.

NPPES Registry Identity

NPI1811272784
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKYOKO KAMISHIMA
Location Address5676 RIVERDALE AVENUE, STE 202Bronx, NY 10471-2138
Mailing Address5676 Riverdale Avenue, Ste 202Bronx, NY 10471-2138 · (718) 796-5300 · Fax (718) 548-1161
Phone(718) 796-5300
Fax(718) 548-1161
Sole ProprietorNo
Enumeration DateOctober 11, 2011
✔ NPI 1811272784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
5676 RIVERDALE AVENUE, Bronx, NY 10471
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kyoko Kamishima has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2024 through May 9, 2028.

Opt-Out Effective DateMay 9, 2024
Opt-Out In Effect ThroughMay 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

ERIK TVETENSTRAND
Counselor (Mental Health)
5676 RIVERDALE AVENUE
BRONX, NY 10471
Bronx County (718) 796-5300
RIVERDALE MENTAL HEALTH ASSOCIATION INC
Community/Behavioral Health
5676 RIVERDALE AVENUE
BRONX, NY 10471
Bronx County (718) 796-5300
RIVERDALE MENTAL HEALTH ASSOCIATION INC
Clinic/Center (Adult Mental Health)
5676 RIVERDALE AVENUE
BRONX, NY 10471
Bronx County (718) 796-5300
RIVERDALE MENTAL HEALTH ASSOCIATION INC
Clinic/Center (Adult Mental Health)
5676 RIVERDALE AVENUE
BRONX, NY 10471
Bronx County (718) 796-5300

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 Kyoko Kamishima's NPI number?

The NPI number for Kyoko Kamishima is 1811272784. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Kyoko Kamishima located?

Kyoko Kamishima practices at 5676 Riverdale Avenue Ste 202, Bronx, NY 10471. The listed phone number is (718) 796-5300.

What is Kyoko Kamishima's specialty?

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

Is Kyoko Kamishima enrolled in Medicare?

No. Kyoko Kamishima has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kyoko Kamishima was last updated on October 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.