Active NPI
Kathryn Booker, LCSW
- Clinical Social Worker
- Williamsville, NY
National Provider Identifier
1841715059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090652
- Practice address
- 8205 Main St Ste 1
Williamsville, NY 14221-6054 - Phone
- (716) 491-6516
- NPI assigned
- Aug 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090652 | NY | Primary |
Addresses
Primary practice location
8205 Main St Ste 1
Williamsville, NY 14221-6054
Mailing address
8205 Main St Ste 1
Williamsville, NY 14221-6054
Phone (716) 491-6516
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210224002617 | NY | Practitioner - Clinical Social Worker | 6103231154 | Practice locations: Tonawanda, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090652 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1841715059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205 MAIN ST STE 1",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216054",
"telephone_number": "716-491-6516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8205 MAIN ST STE 1",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216054",
"telephone_number": "716-491-6516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "KATHRYN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.