Annie Loraine Coburn Kane, LCSW R

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0670431 Issued in NY

Practice address

315 Alberta Drive
Suite 211
Amherst, NY 14226

Phone

(716) 837-6705

Fax

(716) 837-6705

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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.

• Annie Coburn-Kane LCSW PC

  • Medical Specialty Clinic/Center
  • Wilson, NY
  • NPI 1356977151

  NY

  Medicare reassignment NPD Authorized official
• Horizon Health Services Inc

  • Community/Behavioral Health Agency
  • Getzville, NY
  • NPI 1043387152
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497820534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ALBERTA DRIVE",
            "address_2": "SUITE 211",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-837-6705",
            "fax_number": "716-837-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ALBERTA DRIVE",
            "address_2": "SUITE 211",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-837-6705",
            "fax_number": "716-837-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN KANE",
        "first_name": "ANNIE",
        "middle_name": "LORAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0670431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026954701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000590324002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "6212767",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah M Clemmer, AU.D.
• Alisha Stephanie Cline
• Clinical Neuroscience Services Med/Surg PLLC
• Marsilia Seiwell Cloud, MD
• Tonia Cobb
• Margot R Cole, RPH, PHARM.D
• Timothy J Collard, MD
• Nancy Colligan, MD
• Jason Collins, CCC/SLP-L
• Kerry Anne Collins, LMHC

• All providers in Amherst, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.