Individual provider Active NPI

Janet D. Kowal, PH.D., MSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1376614420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO16797 Issued in NY
Practice address
572 Titus Ave
Rochester, NY 14617-3519
Phone
(585) 342-7804
Fax
(585) 342-3267
NPI assigned
Nov 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 RO16797 NY Primary

Addresses

Primary practice location

572 Titus Ave
Rochester, NY 14617-3519

Mailing address

572 Titus Ave
Rochester, NY 14617-3519
Phone (585) 342-7804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180430001512 NY Practitioner - Clinical Social Worker 1153685029 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

572 Titus Ave
Suite B
Rochester, NY 14617-3519
Phone (585) 261-7804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RO16797NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John E. Lambrix Corp. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376614420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173519",
            "telephone_number": "585-342-7804",
            "fax_number": "585-342-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173519",
            "telephone_number": "585-342-7804",
            "fax_number": "585-342-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWAL",
        "first_name": "JANET",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D., MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO16797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.