Katie Marie Kietzmann, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

095953 Issued in NY

Practice address

173 Lake Hill Rd
Burnt Hills, NY 12027-9440

Phone

(518) 399-9141

NPI assigned

Sep 5, 2018

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 names 1

• Katie Marie Biasini Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1528540648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 STATE HIGHWAY 67",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120106929",
            "telephone_number": "518-332-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 LAKE HILL RD",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279440",
            "telephone_number": "518-399-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIETZMANN",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BIASINI",
            "middle_name": "MARIE",
            "credential": "MARRIED NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gerardus Lee Jameson, M.D.
• Jeanette L. Bergstrom Dba Burnt Hills Optical
• Laura Johnstone, D.D.S.
• Matthew Josephson
• Linda Marie Keeler, PT
• Audrey King
• Cassandra Koehler
• Melanie J Lake, PA
• Tara L Lamalfa, LCSW
• Richard Brian Lamanna, DDS

• Social Worker in Burnt Hills, NY
• Providers in Burnt Hills, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.