Active NPI
Kim Ann McCarthy, LCSW
- Clinical Social Worker
- Norwich, NY
National Provider Identifier
1689726770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R048831
- Practice address
- 179 N Broad St
Norwich, NY 13815-1019 - Phone
- (607) 337-4225
- Fax
- (607) 336-4001
- NPI assigned
- Jan 17, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R048831 | NY | Primary |
Addresses
Primary practice location
179 N Broad St
Norwich, NY 13815-1019
Mailing address
367 Burdick Medbury Rd
Norwich, NY 13815-3486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R048831 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenango Memorial Hospital, Inc. | Past | Accepting new patients | |
| Chenango County Catholic Charities | Past | Accepting new patients | |
| Catholic Charities of Chenango County | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Norwich, NY
- NPI 1285027458
-
dba Catholic Charities of Chenango County
- Voluntary or Charitable Agency
- Norwich, NY
- NPI 1447318662
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689726770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 BURDICK MEDBURY RD",
"city": "NORWICH",
"state": "NY",
"postal_code": "138153486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 N BROAD ST",
"city": "NORWICH",
"state": "NY",
"postal_code": "138151019",
"telephone_number": "607-337-4225",
"fax_number": "607-336-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KIM",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R048831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.