Kathleen M. Minotti, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0352411 Issued in NY

Practice address

963 Walnut St
Elmira, NY 14901-1831

Phone

(607) 734-1447

Fax

(607) 737-6274

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Marymount University, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Social Work and Counseling Services of the Finger LakesGroup PAC ID 7113916834, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Work and Counseling Services of the Finger Lakes

  • Clinical Social Worker
  • Elmira, NY
  • NPI 1093802266
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1245295005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 WALNUT ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011831",
            "telephone_number": "607-734-1447",
            "fax_number": "607-737-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 WALNUT ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011831",
            "telephone_number": "607-734-1447",
            "fax_number": "607-737-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOTTI",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0352411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Marie Milo, PT, DPT
• Shantey Monique Milton
• Susan M Minchin, DDS
• Ana Maria Minke, RN
• Danielle Therese Minoia, CRNA
• Thomas A Minotti, PHD., LCSW-R
• Emmanuel Oponde Misodi, M.D.
• Joy Lyn Mitchell, LMSW
• Kristina Mantes Mitchell, PHARMD
• Sandra Mitchell

• Clinical Social Worker in Elmira, NY
• Providers in Elmira, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.