Individual provider Active NPI

Kathryn Elizabeth Hopkins, LCSW-R

  • Clinical Social Worker
  • Wampsville, NY
National Provider Identifier
1922495282
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085049 Issued in NY
Practice address
138 North Court Street
Wampsville, NY 13163-0608
Phone
(315) 366-2327
Fax
(315) 366-2599
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 084488 NY
Clinical Social Worker 1041C0700X 085049 NY Primary

Addresses

Primary practice location

138 North Court Street
Wampsville, NY 13163-0608

Mailing address

PO Box 608
138 North Court Street
Wampsville, NY 13163-0608
Phone (315) 366-2327

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
I20170118000397 NY Practitioner - Clinical Social Worker 8921380429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison CountyGroup PAC ID 2365335957, 11 clinicians

Practice addresses (Care Compare)

138 N Court St
Wampsville, NY 13163-0608
Phone (315) 366-2327

N Court St
PO Box 608
Wampsville, NY 13163-0608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084488NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County CurrentSince Dec 20, 2016 Accepting new patients

Locations

138 N Court St
#B
Wampsville, NY 13163

138 N Court St
Wampsville, NY 13163
Phone (315) 366-2788

Interoperability endpoints

  • Direct secure messaging: kathryn.scheirer@mcmh.medentdirect.com

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1922495282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "address_2": "138 NORTH COURT STREET",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "131630608",
            "telephone_number": "315-366-2327",
            "fax_number": "315-366-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NORTH COURT STREET",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "131630608",
            "telephone_number": "315-366-2327",
            "fax_number": "315-366-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084488",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wampsville, NY

Sources for this page

Verify at the official NPI Registry.