Individual provider Active NPI

Kathleen M Lynch Gaffney, LCSW

  • Clinical Social Worker
  • Arverne, NY
National Provider Identifier
1821147828
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R036173 Issued in NY
Practice address
6200 Beach Channel Dr
Joseph P Addabbo Family Health
Arverne, NY 11692
Phone
(718) 945-7150
Fax
(718) 634-4838
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R036173 NY Primary

Addresses

Primary practice location

6200 Beach Channel Dr
Joseph P Addabbo Family Health
Arverne, NY 11692

Mailing address

329 Union St
#4E
Brooklyn, NY 11231
Phone (718) 945-7150

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
I20241004002071 NY Practitioner - Clinical Social Worker 8820363005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph P. Addabbo Family Health Center, Inc.Group PAC ID 0749174654, 30 clinicians

Practice addresses (Care Compare)

6200 Beach Channel Dr
Arverne, NY 11692-1409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R036173NYMDClinical Social Worker
036173NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Jul 21, 2024 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Jul 21, 2024 Accepting new patients

Locations

6200 Beach Channel Dr
Arverne, NY 11692
Phone (718) 945-2400

6200 Beach Channel Dr
Fl 3
Arverne, NY 11692
Phone (929) 995-0733

6200 Beach Channel Dr
#P
Arverne, NY 11692

120 Richards St
Brooklyn, NY 11231
Phone (718) 834-8202

6710 Rockaway Beach Blvd
Far Rockaway, NY 11692
Phone (718) 474-2100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: kathy.lynch@jpafhc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821147828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 UNION ST",
            "address_2": "#4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11231",
            "telephone_number": "718-945-7150",
            "fax_number": "718-634-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BEACH CHANNEL DR",
            "address_2": "JOSEPH P ADDABBO FAMILY HEALTH",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "11692",
            "telephone_number": "718-945-7150",
            "fax_number": "718-634-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH GAFFNEY",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arverne, NY

Sources for this page

Verify at the official NPI Registry.