Katherine Olaya Compitus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091087 Issued in NY

Practice address

174 Conklingtown Rd
Goshen, NY 10924-5621

Phone

(917) 301-0481

NPI assigned

Apr 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Surrey Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • Chester, NY
  • NPI 1346995115
  NPD Authorized official

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1821443060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 CONKLINGTOWN RD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245621",
            "telephone_number": "917-301-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 CONKLINGTOWN RD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245621",
            "telephone_number": "917-301-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPITUS",
        "first_name": "KATHERINE",
        "middle_name": "OLAYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091087",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06118900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Frances Colligan, M.D.
• Rachel Colvin, DO
• Jessica Comerford
• Communication Station, LLP.
• Michele L Competello, PTA
• Rebecca Conger-Glaser
• Laurie Ann Conklin
• Mia Conley
• Tara Connell, MS/CCC-SLP
• Louise Contin, LCSW

• Clinical Social Worker in Goshen, NY
• Providers in Goshen, 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 Mar 15, 2019; 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.