Individual provider Active NPI

Kathryn Elizabeth Grooms, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1649469438
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077348 Issued in NY
Practice address
49 W 24TH St Ste 612
Suite 802
New York, NY 10010-3206
Phone
(347) 752-1157
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077348 NY Primary

Addresses

Primary practice location

49 W 24TH St Ste 612
Suite 802
New York, NY 10010-3206

Mailing address

49 W 24TH St Ste 612
Suite 802
New York, NY 10010-3206
Phone (347) 752-1157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 12, 2025 through Feb 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077348NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Grooms, LCSW PC Clinical Current Accepting new patients

Organizations & group practices 1

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1649469438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W 24TH ST STE 612",
            "address_2": "SUITE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103206",
            "telephone_number": "347-752-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W 24TH ST STE 612",
            "address_2": "SUITE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103206",
            "telephone_number": "347-752-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMS",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.