Kathryn Miechkowski, MSW
Individual provider Active NPI Clinical Social Worker · Round Lake, NY
NPI 1639723786 · NPPES record last updated Jul 27, 2019
Key facts
- NPI
- 1639723786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 24 Goldfoot Rd
Round Lake, NY 12151-7738 - Phone
- (203) 249-5697
- NPI assigned
- Jul 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
24 Goldfoot Rd
Round Lake, NY 12151-7738
Mailing address
PO Box 662
Round Lake, NY 12151-0662
Other providers in Round Lake, NY
- Penny J Deasy
- Jenna Jamal Fakhoury
- Tisha Graham
- Jenna Fakhoury Corp
- Sandra Patricia Kahlon
- Open Doors Counseling
- Suzanne Quinn
- Elizabeth Mary Rigney
- Douglas J Vincent
- Carol Lee Williams
All providers in Round Lake, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.