Individual provider Active NPI

Kathleen Grabar-Kremblas, LCSW

  • Clinical Social Worker
  • North Tonawanda, NY
National Provider Identifier
1891407722
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100475 Issued in NY
Practice address
89B River Rd
North Tonawanda, NY 14120-5713
Phone
(716) 693-9961
NPI assigned
Dec 22, 2022
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 109164 NY
Clinical Social Worker 1041C0700X 100475 NY Primary

Addresses

Primary practice location

89B River Rd
North Tonawanda, NY 14120-5713

Mailing address

51 Dennis LN
Cheektowaga, NY 14227-1301

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
I20250822003414 NY Practitioner - Clinical Social Worker 9638679723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Dale Association, Inc.Group PAC ID 3971538232, 4 clinicians

Practice addresses (Care Compare)

89 River Rd
North Tonawanda, NY 14120-5713
Phone (716) 693-9961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100475NYMDSocial Worker
109164NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dale Association, Inc. Mental Health CurrentSince Jul 15, 2025 Accepting new patients
Daniel Craigie PastSince Apr 1, 2022 Accepting new patients

Locations

33 Ontario St
Lockport, NY 14094
Phone (716) 433-1937

89 River Rd
North Tonawanda, NY 14120
Phone (716) 693-9961

89 River Rd
#B
North Tonawanda, NY 14120
Phone (716) 278-8110

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1891407722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 DENNIS LN",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89B RIVER RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205713",
            "telephone_number": "716-693-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABAR-KREMBLAS",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "109164",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.