Individual provider Active NPI

Katherine Caldwell Milton, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1144593625
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084185 Issued in NY
Practice address
490 E Ridge Rd
Rochester, NY 14621
Phone
(585) 922-2500
Fax
(585) 922-2646
NPI assigned
Feb 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 087925 NY
Clinical Social Worker 1041C0700X 084185 NY Primary

Addresses

Primary practice location

490 E Ridge Rd
Rochester, NY 14621

Mailing address

490 E Ridge Road
Rochester, NY 14621
Phone (585) 922-2500

Other names 1

  • Katherine Caldwell Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161018000612 NY Practitioner - Clinical Social Worker 8921396367 Reassigns benefits to 2 organizations
I20241017000556 FL Practitioner - Clinical Social Worker 8921396367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Mental Health Services - FL Gulf SW LLCGroup PAC ID 9234523325, 11 clinicians

Practice addresses (Care Compare)

5350 Gulf of Mexico Dr
Suite 203
Longboat Key, FL 34228-2045
Phone (941) 210-0384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087925NYMDSocial Worker
084185NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jul 30, 2016 Accepting new patients
Behavioral Health Network, Inc. CurrentSince Jul 30, 2016 Accepting new patients
Rochester General Hospital CurrentSince Jul 30, 2016 Accepting new patients
Rochester General Hospital Current Accepting new patients
Mindful Mental Health Services - FL Gulf SW LLC Clinical CurrentSince Oct 4, 2024 Accepting new patients

Locations

5350 Gulf of Mexico Dr
Ste 203
Longboat Key, FL 34228
Phone (941) 210-0384

1945 17th St
Apt C
Sarasota, FL 34234
Phone (941) 210-0384

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1144593625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E RIDGE ROAD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-922-2500",
            "fax_number": "585-922-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-922-2500",
            "fax_number": "585-922-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTON",
        "first_name": "KATHERINE",
        "middle_name": "CALDWELL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087925",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JOHNSON",
            "middle_name": "CALDWELL",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.