Individual provider Active NPI

Jodi Lynn Kapes, LCSW-R

  • Clinical Social Worker
  • Cooperstown, NY
National Provider Identifier
1992721484
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R056275-1 Issued in NY
Practice address
149 Main St
2ND Floor
Cooperstown, NY 13326-1224
Phone
(315) 725-7314
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R056275-1 NY Primary

Addresses

Primary practice location

149 Main St
2ND Floor
Cooperstown, NY 13326-1224

Mailing address

43 Elm St
Cooperstown, NY 13326-1232
Phone (607) 547-1801

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

LicenseStateTypeSpecialty
R056275-1NYMDClinical Social Worker
056275NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1992721484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 ELM ST",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261232",
            "telephone_number": "607-547-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261224",
            "telephone_number": "315-725-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPES",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056275-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooperstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.