Adele Katz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R034684 Issued in NY

Practice address

18-15 215Thstreet
Apartment 14C
Bayside, NY 11360-2142

Phone

(718) 423-8134

Fax

(718) 229-9053

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962569061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 215TH ST APT 14C",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602142",
            "telephone_number": "718-423-8134",
            "fax_number": "718-229-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-15 215THSTREET",
            "address_2": "APARTMENT 14C",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602142",
            "telephone_number": "718-423-8134",
            "fax_number": "718-229-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "ADELE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER PIN",
            "identifier": "7404871",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PROVIDER PIN",
            "identifier": "NF048",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariya Kariyeva
• Kyriaki Anna Karydas
• Tassos S. Katechis, D.D.S.
• Mary Katsifarakis
• Bianca Kattan, LCSW
• Jennifer Marsha Kaufman
• Martin M Kay, M.D.
• Scott Paul Kaye, RN
• Robert L. Kayne, PSY.D.
• Penney Sue Kelberg, MS CCC-SLP

• Clinical Social Worker in Bayside, NY
• Providers in Bayside, 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.