Individual provider Active NPI

Kathryn Marion Poulin, LMSW, MPH

  • Social Worker
  • New York, NY
National Provider Identifier
1306236567
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
078426 Issued in NY
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
078426NYMDSocial 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.

Verify at the official NPI Registry.