Active NPI
Max Kamowski
- Social Worker
- Champaign, IL
National Provider Identifier
1205260163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 100536
- Practice address
- 1801 Fox Dr
Champaign, IL 61820-7236 - Phone
- (217) 337-3708
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 100536 | NY | Primary |
Addresses
Primary practice location
1801 Fox Dr
Champaign, IL 61820-7236
Mailing address
580 White Plains Rd
Tarrytown, NY 10591-5198
Phone (914) 345-5900
Other practice location 1
311 N Midland Ave
Nyack, NY 10960-1627
Phone (914) 345-5900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100536 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Max Kamowski, LCSW, PLLC | Current | Accepting new patients | |
| The Mental Health Association of Westchester County - Social Care Network | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Pleasantville, NY
- NPI 1922978709
-
- Case Manager/Care Coordinator
- Tarrytown, NY
- NPI 1760320659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1205260163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 WHITE PLAINS RD",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915198",
"telephone_number": "914-345-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 FOX DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207236",
"telephone_number": "217-337-3708"
}
],
"practiceLocations": [
{
"address_1": "311 N Midland Ave",
"address_purpose": "LOCATION",
"city": "Nyack",
"state": "NY",
"postal_code": "109601627",
"country_code": "US",
"telephone_number": "914-345-5900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMOWSKI",
"first_name": "MAX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "100536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.