Active NPI
Kathryn Jean Schwartz, LCSW
- Clinical Social Worker
- Wantagh, NY
National Provider Identifier
1942485347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 075606-1
- Practice address
- 3375 Park Ave
Wantagh, NY 11793-3733 - Phone
- (516) 781-1911
- Fax
- (516) 221-4160
- NPI assigned
- Jan 3, 2008
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 087264-1 | NY | |
| Clinical Social Worker | 1041C0700X | 075606-1 | NY | Primary |
Addresses
Primary practice location
3375 Park Ave
Wantagh, NY 11793-3733
Mailing address
3375 Park Ave
Wantagh, NY 11793-3733
Phone (516) 781-1911
Other practice location 1
1837 Beech St
Wantagh, NY 11793-3431
Phone (516) 761-8698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942485347 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087264-1 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 075606-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1942485347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 PARK AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933733",
"telephone_number": "516-781-1911",
"fax_number": "516-221-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 PARK AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933733",
"telephone_number": "516-781-1911",
"fax_number": "516-221-4160"
}
],
"practiceLocations": [
{
"address_1": "1837 Beech St",
"address_purpose": "LOCATION",
"city": "Wantagh",
"state": "NY",
"postal_code": "117933431",
"country_code": "US",
"telephone_number": "516-761-8698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "KATHRYN",
"middle_name": "JEAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "087264-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "075606-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942485347",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.