Active NPI
Kathryn Mae Miller-Procknal, LCSW
- Clinical Social Worker
- Orchard Park, NY
National Provider Identifier
1255802492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089950-01
- Practice address
- 227 Thorn Ave
Orchard Park, NY 14127-2600 - Phone
- (716) 882-4357
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 096121-1 | NY | |
| Clinical Social Worker | 1041C0700X | 089950-01 | NY | Primary |
Addresses
Primary practice location
227 Thorn Ave
Orchard Park, NY 14127-2600
Mailing address
73 Fayette Ave
Buffalo, NY 14223-3103
Phone (716) 697-1828
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 |
|---|---|---|---|
| 096121-1 | NY | MD | Social Worker |
| 089950-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1255802492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 FAYETTE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142233103",
"telephone_number": "716-697-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 THORN AVE",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272600",
"telephone_number": "716-882-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER-PROCKNAL",
"first_name": "KATHRYN",
"middle_name": "MAE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "096121-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "089950-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.