Kaitlin Pekow

Primary specialty

Social WorkerTaxonomy code 104100000X

License

118601 Issued in NY

Practice address

960 Salt Springs Rd
Syracuse, NY 13224-1639

Phone

(315) 506-5321

NPI assigned

Jan 17, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1306551015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 KINGMAN RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903024",
            "telephone_number": "315-506-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SALT SPRINGS RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241639",
            "telephone_number": "315-506-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKOW",
        "first_name": "KAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "118601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Peet, FNP
• Zakiyyah Peet, MS, LCAT, ATR-BC
• Daritza Peguero, LMSW
• Mary Damayanthi Peiris, MBBS
• Alicia Renee Pekarsky, MD
• Noam Peleg, MD
• Pelion of Central New York, Inc.
• Christine Pelis, P.T.
• Deborah M Pelkey, NP
• Alison Pelkonen

• Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.