Individual provider Active NPI

Kathryn Philomena Welch

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1780860817
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091566 Issued in NY
Practice address
72 Hinchey Rd
Rochester, NY 14624-2930
Phone
(585) 450-0528
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC14617 ME
Clinical Social Worker 1041C0700X LCSW82429 CA
Clinical Social Worker 1041C0700X 091566 NY Primary

Addresses

Primary practice location

72 Hinchey Rd
Rochester, NY 14624-2930

Mailing address

171 Averill Ave
Rochester, NY 14620-1317
Phone (716) 969-3841

Other practice location 1

171 Averill Ave
Rochester, NY 14620-1317
Phone (716) 969-3841

Other names 1

  • Kathryn Philomena Russell Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203002567 NY Practitioner - Clinical Social Worker 0244602076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW82429CAMDClinical Social Worker
LC14617MEMDClinical Social Worker
091566NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Drug & Alcohol Council CurrentSince Dec 15, 2024 Accepting new patients
Delphi Drug & Alcohol Council, Inc CurrentSince Dec 15, 2024 Accepting new patients
Rochester Rehabilitation Center, Inc CurrentSince Jan 17, 2023 Accepting new patients

Locations

1100 Elmwood Ave
Rochester, NY 14620
Phone (585) 271-0680

1000 Elmwood Ave
Ste 600
Rochester, NY 14620
Phone (585) 471-0559

72 Hinchey Rd
Rochester, NY 14624
Phone (585) 467-2230

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1780860817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 AVERILL AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201317",
            "telephone_number": "716-969-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 HINCHEY RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242930",
            "telephone_number": "585-450-0528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Averill Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146201317",
            "country_code": "US",
            "telephone_number": "716-969-3841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KATHRYN",
        "middle_name": "PHILOMENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14617",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW82429",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "RUSSELL",
            "middle_name": "PHILOMENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.