Katheryn Potenza Lockwood, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

073947 Issued in NY

Practice address

315 5TH Ave
Suite 704a
New York, NY 10016-6510

Phone

(917) 566-3614

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Katheryn Joanna Potenza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: catherine.potenza@489656322949124.direct.elationemr.com

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1083774855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 5TH AVE",
            "address_2": "SUITE 704A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166510",
            "telephone_number": "917-566-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE",
            "address_2": "SUITE 704A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166510",
            "telephone_number": "917-566-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "KATHERYN",
        "middle_name": "POTENZA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077296",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERYN",
            "last_name": "POTENZA",
            "middle_name": "JOANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darcy Lockman, PH.D.
• Roberta Locko, M. D.
• Michael D. Lockshin, MD
• Allison Lockwood, MD
• Amy Lockwood, DPT
• Kenneth Joseph Lockwood, L.AC.
• Tracy Lockwood, MS, RD, CDN
• Brian Locsin, DNP
• Michael Locurcio, M.D.
• Joann Lodescar, M.D.

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.