K. Kabanovich LCSW P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

K. KABANOVICH LCSW P.C.

Practice address

31 Bianca CT
Staten Island, NY 10312-6621

Phone

(917) 586-1083

Fax

(917) 586-1083

NPI assigned

Jun 24, 2025

Organization subpart

No

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

Authorized official

Name

Katsiaryna KabanovichNPI 1477004901

Title

President

Phone

(917) 586-1083

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katsiaryna Kabanovich

  • Social Worker
  • Brooklyn, NY
  • NPI 1477004901
  NPD Authorized official

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1699663120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BIANCA CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126621",
            "telephone_number": "917-586-1083",
            "fax_number": "917-586-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BIANCA CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126621",
            "telephone_number": "917-586-1083",
            "fax_number": "917-586-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. KABANOVICH LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "KABANOVICH",
        "authorized_official_first_name": "KATSIARYNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-586-1083"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.