Katherine M Pawlaczyk, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R074882 Issued in NY

Practice address

39 Duncan St
Warsaw, NY 14569-1017

Phone

(585) 786-0190

Fax

(585) 786-0196

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1447344619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ENGLISH RD",
            "address_2": "STE 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161600",
            "telephone_number": "585-425-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DUNCAN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691017",
            "telephone_number": "585-786-0190",
            "fax_number": "585-786-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLACZYK",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R074882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BSWNY",
            "identifier": "000528721001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kazmiera Ostertag, LMHC
• Joseph Asa Paddock, MHC
• Kavya Pandit
• Allysa Grace Pascoe I
• Rajendrakumar M Patel, MD
• Kirsten Perry, FNP-BC
• Christine Peterson, CASAC
• Susan Jane Petrillo, LCSW
• Kiel Pfaff, DNP
• David Michael Pfalzer, NP

• Clinical Social Worker in Warsaw, NY
• Providers in Warsaw, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.

Verify at the official NPI Registry.