Organization Active NPI

Emily Krohn LCSW PLLC

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1437698149
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMILY KROHN LCSW PLLC
Practice address
1815 Clinton Ave S Ste 630
Rochester, NY 14618-5723
Phone
(585) 730-2043
Fax
(585) 256-0707
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Ms. Emily Krohn, LCSWRNPI 1780887919
Title
Clinical Social Worker
Phone
(585) 730-2043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1815 Clinton Ave S Ste 630
Rochester, NY 14618-5723

Mailing address

1815 Clinton Ave S Ste 630
Rochester, NY 14618-5723
Phone (585) 730-2043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170320001610 NY Part B Supplier - Clinic/Group Practice 3274818950 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

1815 S Clinton Ave
Ste 630
Rochester, NY 14618
Phone (585) 730-2043

1815 S Clinton Ave
Ste 448
Rochester, NY 14618
Phone (585) 301-2478

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1437698149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CLINTON AVE S STE 630",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185723",
            "telephone_number": "585-730-2043",
            "fax_number": "585-256-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CLINTON AVE S STE 630",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185723",
            "telephone_number": "585-730-2043",
            "fax_number": "585-256-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY KROHN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "585-730-2043",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.