Active NPI
Karen M Dague, LCSW-R
- Clinical Social Worker
- Norwich, NY
National Provider Identifier
1700830346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R049829
- Practice address
- 5 Court Street
Ste 42
Norwich, NY 13815 - Phone
- (607) 337-1600
- Fax
- (607) 334-4519
- NPI assigned
- May 19, 2006
- 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 | R049829 | NY | Primary |
Addresses
Primary practice location
5 Court Street
Ste 42
Norwich, NY 13815
Mailing address
5 Court Street
Ste 42
Norwich, NY 13815
Phone (607) 337-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01682659 | Medicaid | NY |
Other names 1
- Karen M Yacano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R049829 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Chenango | Current | Accepting new patients | |
| Chenango County County Treasurer | Current | Accepting new patients | |
| Behavioral Health Services North, Inc. | Past | Accepting new patients | |
| Behavioral Health Services North, Inc. | Past | Accepting new patients |
Locations
5 Court St
Ste 42
Norwich, NY 13815
Phone (607) 337-1600
Interoperability endpoints
- kdague@ccbhs.medentdirect.com
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwich, NY
- NPI 1003846270
-
- Land Ambulance
- Norwich, NY
- NPI 1215679840
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Queensbury, NY
- NPI 1447005541
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morrisonville, NY
- NPI 1689621468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1700830346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 COURT STREET",
"address_2": "STE 42",
"city": "NORWICH",
"state": "NY",
"postal_code": "13815",
"telephone_number": "607-337-1600",
"fax_number": "607-334-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 COURT STREET",
"address_2": "STE 42",
"city": "NORWICH",
"state": "NY",
"postal_code": "13815",
"telephone_number": "607-337-1600",
"fax_number": "607-334-4519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGUE",
"first_name": "KAREN",
"middle_name": "M",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2024-12-20",
"certification_date": "2022-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R049829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01682659",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "YACANO",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.