Active NPI
Kathryn Marion Poulin, LMSW, MPH
- Social Worker
- New York, NY
National Provider Identifier
1306236567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 078426
- Practice address
- 1111 Amsterdam Avenue, Scrymser 3Rd Floor
Mt. Sinai St. Luke's, Institute for Advanced Medicine
New York, NY 10025 - Phone
- (212) 523-5687
- NPI assigned
- Jan 27, 2015
- Last updated
- Jan 27, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 078426 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Avenue, Scrymser 3Rd Floor
Mt. Sinai St. Luke's, Institute for Advanced Medicine
New York, NY 10025
Mailing address
1111 Amsterdam Avenue, Scrymser 3Rd Floor
Mt. Sinai St. Luke's, Institute for Advanced Medicine
New York, NY 10025
Phone (212) 523-5687
Other names 1
- Kathryn Marion Romansky
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 |
|---|---|---|---|
| 078426 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1306236567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVENUE, SCRYMSER 3RD FLOOR",
"address_2": "MT. SINAI ST. LUKE'S, INSTITUTE FOR ADVANCED MEDICINE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-523-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVENUE, SCRYMSER 3RD FLOOR",
"address_2": "MT. SINAI ST. LUKE'S, INSTITUTE FOR ADVANCED MEDICINE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-523-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULIN",
"first_name": "KATHRYN",
"middle_name": "MARION",
"name_prefix": "Mrs.",
"credential": "LMSW, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "078426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "ROMANSKY",
"middle_name": "MARION",
"credential": "LMSW, MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.