Kathleen Ann Innes, LMSW, MA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

098086-1 Issued in NY

Practice address

12 Lakeshore Dr Apt 1a
Watervliet, NY 12189-2933

Phone

(607) 643-1546

NPI assigned

Apr 17, 2018

Last updated

Apr 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Creating Connections Together, LCSW, PLLC

  dba Sunrise Counseling Services

  • Clinical Social Worker
  • Albany, NY
  • NPI 1871288274
  Medicare reassignment

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1730676560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LAKESHORE DR APT 1A",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892933",
            "telephone_number": "607-643-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LAKESHORE DR APT 1A",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892933",
            "telephone_number": "607-643-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNES",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098086-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moira Hilt, PT
• William James Hogan, D.D.S.
• Debra Marie Hotaling, R.PH.
• Kara Howansky, OTD, OTR/L
• Hudson Shores Medical Group PLLC
• Integrity Case Management Services LLC
• Cassandra T Jaquish, FNP-BC
• Tierra Jobson, M.S. CCC-SLP
• Deborah Elizabeth Johnson, LPN
• Jennifer Lynn Keefer, PT, DPT

• Social Worker in Watervliet, NY
• Providers in Watervliet, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.

Verify at the official NPI Registry.