Individual provider Active NPI

Katharine Pendleton Goerke, L.M.S.W.

  • Social Worker
  • New York, NY
National Provider Identifier
1508090101
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
079045-1 Issued in NY
Practice address
353 W 56TH St
5C
New York, NY 10019-3765
Phone
(917) 575-4043
NPI assigned
May 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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 079045-1 NY Primary

Addresses

Primary practice location

353 W 56TH St
5C
New York, NY 10019-3765

Mailing address

353 W 56TH St
5C
New York, NY 10019-3765
Phone (212) 765-3837

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
I20190815001824 NY Practitioner - Clinical Social Worker 6507193406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Settlement Society of New YorkGroup PAC ID 4486545662, 7 clinicians

Practice addresses (Care Compare)

184 Eldridge St
New York, NY 10002-2924
Phone (212) 674-9120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079045-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New York Psychiatric Services, P.C. Social Worker CurrentSince Jul 1, 2019 Accepting new patients
University Settlement Society of New York CurrentSince Jan 4, 2020 Accepting new patients

Locations

184 Eldridge St
New York, NY 10002
Phone (212) 453-4509

225 Broadway
Ste 1605
New York, NY 10007
Phone (212) 227-2225

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1508090101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 W 56TH ST",
            "address_2": "5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193765",
            "telephone_number": "212-765-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 W 56TH ST",
            "address_2": "5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193765",
            "telephone_number": "917-575-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERKE",
        "first_name": "KATHARINE",
        "middle_name": "PENDLETON",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079045-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.