Individual provider Active NPI

Cathy Woyahn, LCSW-R

  • Clinical Social Worker
  • Kingston, NY
National Provider Identifier
1114141041
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072609 Issued in NY
Practice address
658 Aaron CT
Kingston, NY 12401-2968
Phone
(845) 901-1076
Fax
(845) 728-0667
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072609 NY Primary

Addresses

Primary practice location

658 Aaron CT
Kingston, NY 12401-2968

Mailing address

264 North Rd
Milton, NY 12547-5506
Phone (845) 901-1067

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141114001874 NY Practitioner - Clinical Social Worker 1052533635 Practice locations: Tillson, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27 Cedar St
Tillson, NY 12486-1509
Phone (845) 901-1076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072609NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1114141041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 NORTH RD",
            "city": "MILTON",
            "state": "NY",
            "postal_code": "125475506",
            "telephone_number": "845-901-1067",
            "fax_number": "845-728-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 AARON CT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012968",
            "telephone_number": "845-901-1076",
            "fax_number": "845-728-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYAHN",
        "first_name": "CATHY",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.