Katherine A Stevko, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079524 Issued in NY

Practice address

1304 Pine St
Saranac Lake, NY 12983-1962

Phone

(732) 887-6369

NPI assigned

Apr 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Citizen Advocates, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malone, NY
  • NPI 1780619064
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1538484159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 PINE ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831962",
            "telephone_number": "732-887-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 PINE ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831962",
            "telephone_number": "732-887-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVKO",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079524",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05418000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Josephs Rehabilitation Center, Inc
• Glenn Edward Stearns
• Stephanie Dell'Aquila Stevens, LCSW
• Deborah Ann Stevens, LPN
• Stephanie Dell'Aquila Stevens, MSW
• Katie F Stoddard
• Scott Stoddard
• Daniel Joseph Sullivan, LMT CERTIFIED IN ZB
• Mallory Supley
• Surgical Eye Care PLLC

• Clinical Social Worker in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.