Individual provider Active NPI

Kathy Knaust, LCSW-R

  • Clinical Social Worker
  • Flushing, NY
National Provider Identifier
1841419637
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R075936-01 Issued in NY
Practice address
4535 194TH St
Flushing, NY 11358-3533
Phone
(917) 698-0090
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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 R075936-01 NY Primary

Addresses

Primary practice location

4535 194TH St
Flushing, NY 11358-3533

Mailing address

4535 194TH St
Auburndale, NY 11358-3533
Phone (917) 698-0090

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
I20080827000591 NY Practitioner - Clinical Social Worker 5395811335 Practice locations: Auburndale, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 -35
Auburndale, NY 11358-3533

4535 194TH St
Auburndale, NY 11358-3533
Phone (917) 698-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R075936-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
164TH Street Consulting, Inc PastSince Jan 8, 2023 Accepting new patients

Organizations & group practices 1

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1841419637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 194TH ST",
            "city": "AUBURNDALE",
            "state": "NY",
            "postal_code": "113583533",
            "telephone_number": "917-698-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 194TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583533",
            "telephone_number": "917-698-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUST",
        "first_name": "KATHY",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R075936-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.