Catherine Emerson Bowne, LCSWR

Individual provider Active NPI Clinical Social Worker · Herkimer, NY

NPI 1720175276 · NPPES record last updated Oct 20, 2010

Key facts

NPI
1720175276
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
R0240921 (NY)
Practice address
426 North Main St
Herkimer, NY 13350-0924
Phone
(315) 866-8283
Fax
(315) 866-7488
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Victor, NY 14564
Phone (315) 868-4045

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120319000568 NY Practitioner - Clinical Social Worker 8820013683 Practice locations: Victor, NY; Herkimer, NY

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
R0240921NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R0240921 NY Yes

Addresses

Primary practice location

426 North Main St
Herkimer, NY 13350-0924

Mailing address

PO Box 924
Herkimer, NY 13350-0924
Phone (315) 866-8283

Other identifiers

IdentifierTypeStateIssuer
615230OtherMVP INS

Other providers in Herkimer, NY

All providers in Herkimer, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.