Individual provider Active NPI

Kathryn Margules Sajdak, LCSW-R

  • Clinical Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1184803694
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R047857-1 Issued in NY
Practice address
27 Collegeview Ave
Poughkeepsie, NY 12603-2456
Phone
(845) 857-7654
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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 R047857-1 NY Primary

Addresses

Primary practice location

27 Collegeview Ave
Poughkeepsie, NY 12603-2456

Mailing address

27 Collegeview Ave
Poughkeepsie, NY 12603-2456
Phone (845) 857-7654

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R047857-1NYMDClinical Social Worker
047857NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1184803694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COLLEGEVIEW AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032456",
            "telephone_number": "845-857-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COLLEGEVIEW AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032456",
            "telephone_number": "845-857-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJDAK",
        "first_name": "KATHRYN",
        "middle_name": "MARGULES",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047857-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.