Active NPI
Catherine Faith Kappenberg, LCSW
- Clinical Social Worker
- Melville, NY
National Provider Identifier
1487748299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR012542-1
- Practice address
- 6 Spruce PL Ste 5
Melville, NY 11747-1104 - Phone
- (516) 242-4341
- Fax
- (516) 407-5544
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR012542-1 | NY | Primary |
Addresses
Primary practice location
6 Spruce PL Ste 5
Melville, NY 11747-1104
Mailing address
6 Spruce PL Ste 5
Melville, NY 11747-1104
Phone (516) 242-4341
Other practice location 1
3 Stuart Drive East
Glen Cove, NY 11542
Phone (516) 242-4341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 14, 2024 through Dec 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR012542-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1487748299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SPRUCE PL STE 5",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117471104",
"telephone_number": "516-242-4341",
"fax_number": "516-407-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SPRUCE PL STE 5",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117471104",
"telephone_number": "516-242-4341",
"fax_number": "516-407-5544"
}
],
"practiceLocations": [
{
"address_1": "3 Stuart Drive East",
"address_purpose": "LOCATION",
"city": "Glen Cove",
"state": "NY",
"postal_code": "11542",
"country_code": "US",
"telephone_number": "516-242-4341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAPPENBERG",
"first_name": "CATHERINE",
"middle_name": "FAITH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR012542-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.