Individual provider Active NPI

Kelly A Schafer, LCSW

  • Clinical Social Worker
  • Oneonta, NY
National Provider Identifier
1346454196
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091415-01 Issued in NY
Practice address
242 Main St
Oneonta, NY 13820-2527
Phone
(607) 433-2343
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 091415-01 NY Primary

Addresses

Primary practice location

242 Main St
Oneonta, NY 13820-2527

Mailing address

681 County Road 34
Norwich, NY 13815-3743
Phone (860) 849-2198

Other practice location 1

5 Court St Ste 42
Norwich, NY 13815-1695
Phone (607) 337-1600

Other names 1

  • Kelly Schabot 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
091415-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1346454196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 COUNTY ROAD 34",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138153743",
            "telephone_number": "860-849-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202527",
            "telephone_number": "607-433-2343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Court St Ste 42",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "NY",
            "postal_code": "138151695",
            "country_code": "US",
            "telephone_number": "607-337-1600",
            "fax_number": "607-334-4519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091415-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SCHABOT",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.