Individual provider Active NPI

Karen B Pegno, LMSW

  • Social Worker
  • Sea Cliff, NY
National Provider Identifier
1689889537
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5497866 Issued in NY
Practice address
321 Sea Cliff Ave
Sea Cliff, NY 11579-1266
Phone
(516) 801-4362
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5497866 NY Primary

Addresses

Primary practice location

321 Sea Cliff Ave
Sea Cliff, NY 11579-1266

Mailing address

251 Littleworth LN
Sea Cliff, NY 11579-1904
Phone (516) 674-4312

Other names 1

  • Karen B Montagnese Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5497866NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689889537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 LITTLEWORTH LN",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791904",
            "telephone_number": "516-674-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SEA CLIFF AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791266",
            "telephone_number": "516-801-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGNO",
        "first_name": "KAREN",
        "middle_name": "B",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "5497866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MONTAGNESE",
            "middle_name": "B",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sea Cliff, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.