Active NPI
Kathleen Anne Wolfsong, L.C.S.W.-R
- Mental Health Counselor
- Rochester, NY
National Provider Identifier
1629281936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 048483-1
- Practice address
- 1081 Long Pond Rd
Rochester, NY 14626-5002 - Phone
- (585) 225-2600
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 048483-1 | NY | Primary |
Addresses
Primary practice location
1081 Long Pond Rd
Rochester, NY 14626-5002
Mailing address
522 Long Acre Rd
Rochester, NY 14621-1114
Phone (585) 224-5732
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171227000003 | NY | Practitioner - Clinical Social Worker | 7315205234 | Practice locations: Rochester, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
522 Long Acre Rd
Rochester, NY 14621-1114
Phone (585) 224-5732
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048483-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1629281936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 LONG ACRE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146211114",
"telephone_number": "585-224-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 LONG POND RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146265002",
"telephone_number": "585-225-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFSONG",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "048483-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.