Individual provider Active NPI

Karalyn Jeanne Violeta, LCSW

  • Clinical Social Worker
  • Brewster, NY
National Provider Identifier
1447581004
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087429 Issued in NY
Practice address
12 Main St # 1082
Brewster, NY 10509-6402
Phone
(347) 370-9867
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 087429 NY Primary

Addresses

Primary practice location

12 Main St # 1082
Brewster, NY 10509-6402

Mailing address

12 Main St # 1082
Brewster, NY 10509-6402
Phone (347) 370-9867

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
087429NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Service of Edny, Inc. Clinical PastSince Jan 30, 2019 Accepting new patients
Counseling Service of Edny Past Accepting new patients

Organizations & group practices 2

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1447581004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAIN ST # 1082",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105096402",
            "telephone_number": "347-370-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAIN ST # 1082",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105096402",
            "telephone_number": "347-370-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLETA",
        "first_name": "KARALYN",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.