Katie Augustine, LMSW

Individual provider Active NPI Social Worker · Alexandria Bay, NY

NPI 1962228304 · NPPES record last updated Dec 2, 2024

Key facts

NPI
1962228304
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
125203-01 (NY)
Practice address
4 Fuller St
Alexandria Bay, NY 13607-1391
Phone
(315) 482-1241
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
125203-01NYMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 125203-01 NY Yes

Addresses

Primary practice location

4 Fuller St
Alexandria Bay, NY 13607-1391

Mailing address

4 Fuller St
Alexandria Bay, NY 13607-1391
Phone (315) 482-1241

Other providers in Alexandria Bay, NY

All providers in Alexandria Bay, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.