Individual provider Active NPI

Marjeta Kane

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1720552326
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093282-01 Issued in NY
Practice address
22 S 40TH St Ste 201B
Philadelphia, PA 19104-5827
Phone
(855) 675-4010
Fax
(617) 807-0958
NPI assigned
Jan 16, 2019
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 093282-01 NY Primary
Clinical Social Worker 1041C0700X CW024480 PA

Addresses

Primary practice location

22 S 40TH St Ste 201B
Philadelphia, PA 19104-5827

Mailing address

3043 State Route 4
Hudson Falls, NY 12839-9632
Phone (518) 747-2284

Other practice location 1

3043 State Route 4
Hudson Falls, NY 12839-9632
Phone (518) 747-2284

Other identifiers 1

IdentifierTypeStateIssuer
105876MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220531002451 NY Practitioner - Clinical Social Worker 3779961909 Reassigns benefits to 3 organizations
I20241003002433 PA Practitioner - Clinical Social Worker 3779961909 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093282-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Psychological Associates PLLC Clinical CurrentSince Feb 1, 2024 Accepting new patients
Professional Medical Concierge Services, PLLC Clinical CurrentSince Jan 23, 2025 Accepting new patients
Valera Medical, P.C. Clinical CurrentSince May 1, 2022 Accepting new patients
Main Line Therapy Solutions, LLC CurrentSince Dec 16, 2024 Accepting new patients
Northeast Psychological Associates Clinical PastSince Feb 1, 2024 Accepting new patients
Marvin Behavioral Health Ma PC Clinical Past Accepting new patients
Warren Washington Association for Mental Health, Inc PastSince Sep 1, 2000 Accepting new patients

Locations

435 New Karner Rd
Albany, NY 12205
Phone (518) 456-1622

134 N 4th St
Brooklyn, NY 11249

1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

600 Haverford Rd
Ste G104
Haverford, PA 19041
Phone (610) 553-5303

630 Germantown Pike
#A
Lafayette Hl, PA 19444
Phone (610) 649-6344

Interoperability endpoints

  • Direct secure messaging: marjeta.kane.1@28623.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/10d65d12-0ecf-4613-84df-07c7c4f09ca4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1720552326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 STATE ROUTE 4",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128399632",
            "telephone_number": "518-747-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S 40TH ST STE 201B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045827",
            "telephone_number": "855-675-4010",
            "fax_number": "617-807-0958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3043 State Route 4",
            "address_purpose": "LOCATION",
            "city": "Hudson Falls",
            "state": "NY",
            "postal_code": "128399632",
            "country_code": "US",
            "telephone_number": "518-747-2284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "MARJETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093282-01",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024480",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105876",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.