Active NPI
Kathryn Eliza Korengold Bernstorf, LGSW
- School Social Worker
- Washington, DC
National Provider Identifier
1174068522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- LG50081168
- Practice address
- 646 Keefer PL NW
Washington, DC 20010-2515 - Phone
- (301) 787-7557
- NPI assigned
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | LG50081168 | DC | Primary |
Addresses
Primary practice location
646 Keefer PL NW
Washington, DC 20010-2515
Mailing address
646 Keefer PL NW
Washington, DC 20010-2515
Phone (301) 787-7557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG50081168 | DC | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1174068522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 KEEFER PL NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102515",
"telephone_number": "301-787-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 KEEFER PL NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102515",
"telephone_number": "301-787-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTORF",
"first_name": "KATHRYN ELIZA",
"middle_name": "KORENGOLD",
"name_prefix": "Mrs.",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "DC",
"license": "LG50081168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.