Active NPI
Katharine Johnson, LCSW-R
- Social Worker
- Kingston, NY
National Provider Identifier
1417067984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R042987-1
- Practice address
- 465 Broadway
Kingston, NY 12401-4627 - Phone
- (845) 340-0244
- Fax
- (845) 340-0141
- NPI assigned
- Aug 30, 2006
- Last updated
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R042987-1 | NY | Primary |
Addresses
Primary practice location
465 Broadway
Kingston, NY 12401-4627
Mailing address
465 Broadway
Kingston, NY 12401-4627
Phone (845) 340-0244
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
| License | State | Type | Specialty |
|---|---|---|---|
| R042987-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1417067984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 BROADWAY",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014627",
"telephone_number": "845-340-0244",
"fax_number": "845-340-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 BROADWAY",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014627",
"telephone_number": "845-340-0244",
"fax_number": "845-340-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KATHARINE",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R042987-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.