Active NPI
Thomas Edward Konopka, LMSW
- Social Worker
- Albany, NY
National Provider Identifier
1427208156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 075553
- Practice address
- 790 Lancaster St
Albany, NY 12203-1506 - Phone
- (518) 489-4431
- Fax
- (518) 489-5189
- NPI assigned
- Sep 30, 2008
- Last updated
- Sep 30, 2008
- Sex
- Male
- 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 | 075553 | NY | Primary |
Addresses
Primary practice location
790 Lancaster St
Albany, NY 12203-1506
Mailing address
790 Lancaster St
Albany, NY 12203-1506
Phone (518) 489-4431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075553 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1427208156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 LANCASTER ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122031506",
"telephone_number": "518-489-4431",
"fax_number": "518-489-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 LANCASTER ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122031506",
"telephone_number": "518-489-4431",
"fax_number": "518-489-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONOPKA",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "075553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.