Susan Marie Koniewicz-Everett, MSW LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R024780 Issued in NY

Practice address

107 Genesee St
New Hartford, NY 13413-2323

Phone

(315) 724-6702

Fax

(315) 792-9294

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hospice & Palliative Care Inc

  • Community Based Hospice Care Agency
  • New Hartford, NY
  • NPI 1063430577
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316936818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132323",
            "telephone_number": "315-724-6702",
            "fax_number": "315-792-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132323",
            "telephone_number": "315-724-6702",
            "fax_number": "315-792-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIEWICZ-EVERETT",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "MSW LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R024780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Terese Kissinger, PHARM.D.
• Melissa Marie Kobito, FNP
• Irena Kokot, MD
• David Koldin, RPA-C
• Komgrit Chukiert, MD
• Karen Sleight Korotzer, LCSW
• Cynthia A Koval, R.P.A.-C
• Michael G Kowalski, MD
• Megan Lynne Kozemchak, DC
• George Kozminski, MD

• Clinical Social Worker in New Hartford, NY
• Providers in New Hartford, 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 Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.