Active NPI
Karin J Fine, LCSW
- Contractor
- Greenfield Center, NY
National Provider Identifier
1710131404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- R026169-1
- Practice address
- 28 Southwest Pass
Greenfield Center, NY 12833-1215 - Phone
- (518) 581-1501
- NPI assigned
- Nov 8, 2008
- Last updated
- Nov 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | R026169-1 | NY | Primary |
Addresses
Primary practice location
28 Southwest Pass
Greenfield Center, NY 12833-1215
Mailing address
28 Southwest Pass
Greenfield Center, NY 12833-1215
Phone (518) 581-1501
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
| License | State | Type | Specialty |
|---|---|---|---|
| R026169-1 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226102400000",
"number": "1710131404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 SOUTHWEST PASS",
"city": "GREENFIELD CENTER",
"state": "NY",
"postal_code": "128331215",
"telephone_number": "518-581-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 SOUTHWEST PASS",
"city": "GREENFIELD CENTER",
"state": "NY",
"postal_code": "128331215",
"telephone_number": "518-581-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "KARIN",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-08",
"last_updated": "2008-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "R026169-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield Center, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.