Individual provider Active NPI

Karen Adam

  • Social Worker
  • Bath, NY
National Provider Identifier
1477652170
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
115 Liberty St
Bath, NY 14810-1508
Phone
(607) 776-6577
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

115 Liberty St
Bath, NY 14810-1508

Mailing address

86 Maple St
Canisteo, NY 14823-1365
Phone (607) 698-2612

Other identifiers 1

IdentifierTypeStateIssuer
00052739MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081124000515 NY Practitioner - Clinical Social Worker 1658431424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of SteubenGroup PAC ID 3375522642, 17 clinicians

Practice addresses (Care Compare)

115 Liberty St
Bath, NY 14810-1508
Phone 60766422554066

3 E Pulteney SQ
Bath, NY 14810-1510
Phone 60766422554066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052739NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Steuben CurrentSince Jan 3, 2012 Accepting new patients
County of Steuben CurrentSince Jan 3, 2012 Accepting new patients

Locations

3 E Pulteney Sq
Bath, NY 14810
Phone (607) 664-2255

115 Liberty St
Bath, NY 14810
Phone (607) 664-2156

7454 Seneca Rd N
Hornell, NY 14843
Phone (607) 324-2483

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1477652170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MAPLE ST",
            "city": "CANISTEO",
            "state": "NY",
            "postal_code": "148231365",
            "telephone_number": "607-698-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LIBERTY ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101508",
            "telephone_number": "607-776-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00052739",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

Verify at the official NPI Registry.