Kathleen Carpenter, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R038098 Issued in NY

Practice address

3671 Southwestern Blvd
Suite 213
Orchard Park, NY 14127-1752

Phone

(716) 662-7008

Fax

(716) 662-5226

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Robert Erickson DO and Jennifer Erickson DO LLCGroup PAC ID 5991748626, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Robert Erickson DO and Jennifer Erickson DO LLC

  • Family Medicine Physician
  • Orchard Park, NY
  • NPI 1992866990
  Medicare reassignment Care Compare group NPD
• Robert Erickson DO and Jennifer Erickson DO LLC

  • Health Educator
  • Orchard Park, NY
  • NPI 1386277366
  NPD

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1942584867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 SOUTHWESTERN BLVD",
            "address_2": "SUITE 213",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271752",
            "telephone_number": "716-662-7008",
            "fax_number": "716-662-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 SOUTHWESTERN BLVD",
            "address_2": "SUITE 213",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271752",
            "telephone_number": "716-662-7008",
            "fax_number": "716-662-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Carlson, DO
• Lisa Carlson
• Mark Anthony Carlson, R.PH.
• Samuel Dean Carocci, D.D.S.
• Burdette Carpenter, ATC
• Christine E Carron, NP
• Carrow Street Pediatrics, PLLC
• Valerie Robin Carrow, SLP
• Adam Joseph Cartenuto, PHARMD
• Cary B Cartonia, ATC, PES

• Clinical Social Worker in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.