Katherine Mary Evanico, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089222 Issued in NY

Practice address

211 Church St
Saratoga Springs, NY 12866-1090

Phone

(518) 580-2865

NPI assigned

Mar 12, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Psychological Associates PLLCGroup PAC ID 4688908791, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

68.51 of 100Reported as group

Quality

56.19

Improvement activities

40

Cost

75.36

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeast Psychological Associates PLLC

  • Psychologist
  • Albany, NY
  • NPI 1447817093

  Clinical

  Medicare reassignment Care Compare group NPD
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment NPD
• Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Primary Care Clinic/Center
  • Ballston Spa, NY
  • NPI 1386067601
  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1629415740
  NPD
• Saratoga Hospital

  • Pain Medicine Physician
  • Saratoga Springs, NY
  • NPI 1790941359
  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga SPGS, NY
  • NPI 1881924322
  NPD
• Northeast Psychological Associates

  • Clinical Psychologist
  • Albany, NY
  • NPI 1275751133
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1033794821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661090",
            "telephone_number": "518-580-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANICO",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Virginia Enos, PHARMD
• Erika Erano
• Alyssa K Ercoline, PA
• Gloria Ethier, DO
• Sarah Etkin-Sefcik, LCSW
• Christopher J Evans, RPA
• Katherine Evans, DPT
• Shaun P Evans, MPT
• Evergreen Adult Day Care Center, Inc.
• Evolving Treatment Medical Services, PLLC

• Clinical Social Worker in Saratoga Springs, NY
• Providers in Saratoga Springs, 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 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.