Individual provider Active NPI

Anne M Kabatt, LCSW-R

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1366648339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0264511 Issued in NY
Practice address
1300 Niagara St
Buffalo, NY 14213-1503
Phone
(716) 882-2127
Fax
(716) 882-9277
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R0264511 NY Primary

Addresses

Primary practice location

1300 Niagara St
Buffalo, NY 14213-1503

Mailing address

1300 Niagara St
PO Box 657
Buffalo, NY 14213-1503
Phone (716) 882-2127

Other identifiers 1

IdentifierTypeStateIssuer
000524152001OtherNYBLUE CROSS BLUE SHIELD

Other names 1

  • Anne M Fox 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
R0264511NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366648339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NIAGARA ST",
            "address_2": "PO BOX 657",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131503",
            "telephone_number": "716-882-2127",
            "fax_number": "716-882-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131503",
            "telephone_number": "716-882-2127",
            "fax_number": "716-882-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABATT",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0264511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000524152001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "FOX",
            "middle_name": "M",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.