Individual provider Active NPI

Katsiaryna Kabanovich

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1477004901
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone
(718) 954-3800
NPI assigned
Oct 19, 2016
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1623 Kings Hwy
Brooklyn, NY 11229-1209

Mailing address

2928 W 36TH St
Brooklyn, NY 11224-1410
Phone (718) 372-3300

Other practice location 1

2579 Ocean Ave Fl 3
Brooklyn, NY 11229-4552
Phone (718) 307-5680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250603002314 NY Practitioner - Clinical Social Worker 8921517715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lana Gaiton Psychological Services, PC CurrentSince May 27, 2025 Accepting new patients
K. Kabanovich LCSW P.C. Current Accepting new patients

Locations

2502 86th St
Fl 3
Brooklyn, NY 11214
Phone (347) 391-4205

225 Broadway
New York, NY 10007
Phone (212) 374-9500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1477004901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 W 36TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241410",
            "telephone_number": "718-372-3300",
            "fax_number": "718-372-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291209",
            "telephone_number": "718-954-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2579 Ocean Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112294552",
            "country_code": "US",
            "telephone_number": "718-307-5680",
            "fax_number": "718-332-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABANOVICH",
        "first_name": "KATSIARYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.