Individual provider Active NPI

Katie Granica, LCSW

  • Social Worker
  • Buffalo, NY
National Provider Identifier
1417240342
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
085013-1 Issued in NY
Practice address
100 Evans St Apt 1
Buffalo, NY 14221-5529
Phone
(716) 201-0755
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 085013-1 NY Primary

Addresses

Primary practice location

100 Evans St Apt 1
Buffalo, NY 14221-5529

Mailing address

100 Evans St Apt 1
Buffalo, NY 14221-5529
Phone (716) 201-0755

Other practice location 1

414 S Division St
Buffalo, NY 14204-1710
Phone (716) 472-8327

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
I20250929001205 NY Practitioner - Clinical Social Worker 6800391996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

144 Genesee St
FL 3
Buffalo, NY 14203-1510

414 S Division St
Buffalo, NY 14204-1710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085013-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Sep 1, 2025 Accepting new patients
Kaleida Health CurrentSince Sep 1, 2025 Accepting new patients
Kaleida Health Past Accepting new patients
Kaleida Health Past Accepting new patients

Locations

414 S Division St
#6
Buffalo, NY 14204

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

414 S Division St
Buffalo, NY 14204
Phone (716) 842-3002

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1417240342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EVANS ST APT 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215529",
            "telephone_number": "716-201-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EVANS ST APT 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215529",
            "telephone_number": "716-201-0755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 S Division St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142041710",
            "country_code": "US",
            "telephone_number": "716-472-8327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANICA",
        "first_name": "KATIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085013-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.