Individual provider Active NPI

Katherine Marie Gallagher, LCSW

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1457798183
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087899 Issued in NY
Practice address
481 Main St Ste 401
New Rochelle, NY 10801-6360
Phone
(914) 355-2440
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.017653 IL
Clinical Social Worker 1041C0700X 087899 NY Primary

Addresses

Primary practice location

481 Main St Ste 401
New Rochelle, NY 10801-6360

Mailing address

481 Main St Ste 401
New Rochelle, NY 10801-6360
Phone (914) 355-2440

Other practice location 1

1023 Burlington Ave
Western Springs, IL 60558-1516
Phone (708) 995-3828

Other names 1

  • Katherine Marie Wanner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.alssaro.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 18, 2024 through May 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.017653ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1457798183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 MAIN ST STE 401",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016360",
            "telephone_number": "914-355-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 MAIN ST STE 401",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016360",
            "telephone_number": "914-355-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1023 Burlington Ave",
            "address_purpose": "LOCATION",
            "city": "Western Springs",
            "state": "IL",
            "postal_code": "605581516",
            "country_code": "US",
            "telephone_number": "708-995-3828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017653",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.alssaro.com/",
            "affiliation": "N",
            "endpointDescription": "Agency website for contact",
            "address_1": "481 Main St Ste 401",
            "city": "New Rochelle",
            "state": "NY",
            "country_code": "US",
            "postal_code": "108016360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WANNER",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.