Kathleen O'Connor Hoekstra, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

RO2461 Issued in NY

Practice address

730 Peekskill Hollow Rd
Putnam Valley, NY 10579-1704

Phone

(845) 528-7688

NPI assigned

Jan 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1801192596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 PEEKSKILL HOLLOW RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105791704",
            "telephone_number": "845-528-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 PEEKSKILL HOLLOW RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105791704",
            "telephone_number": "845-528-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSTRA",
        "first_name": "KATHLEEN",
        "middle_name": "O'CONNOR",
        "name_prefix": "Dr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO2461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "RO2461",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Gameiro
• Victoria Gevargiz
• Michelle Elaine Gordon, D.O.
• Mark A Graham
• Barbara Gubbay, R.N/.N.P
• Laurie Holden Costello, RPT
• Nancy Carroll Hopkins, LCSWR
• Alana Lauren Horvitz, M.S. MHC ., NCC
• Shelby J Isaac, RPH
• Lauren Ashley Johnson, RN

• Clinical Social Worker in Putnam Valley, NY
• Providers in Putnam Valley, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.