Active NPI
Kaitlyn Dawn Budge, MSW
- Social Worker
- Albany, NY
National Provider Identifier
1861005738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 110307
- Practice address
- 58 Academy Rd
Albany, NY 12208-3103 - Phone
- (518) 292-5499
- NPI assigned
- Aug 28, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P106531 | NY | |
| Social Worker | 104100000X | 110307 | NY | Primary |
Addresses
Primary practice location
58 Academy Rd
Albany, NY 12208-3103
Mailing address
1186 Glenwood Blvd
Schenectady, NY 12308-2504
Phone (315) 373-1794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110307 | NY | MD | Social Worker |
| P106531 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1861005738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1186 GLENWOOD BLVD",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082504",
"telephone_number": "315-373-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 ACADEMY RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083103",
"telephone_number": "518-292-5499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDGE",
"first_name": "KAITLYN",
"middle_name": "DAWN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2020-09-16",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "P106531",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "110307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.