Individual provider Active NPI

Kiernan L. Hamilton, LCSW-R

  • Clinical Social Worker
  • Norwich, NY
National Provider Identifier
1992965586
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074507-1 Issued in NY
Practice address
26 Conkey Ave
Norwich, NY 13815-1756
Phone
(315) 308-0112
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

60 Midland Dr
Norwich, NY 13815-1947

Medicare participation

Medicare enrollment files
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120120000567 NY Practitioner - Clinical Social Worker 6709053408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074507-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Chenango County, Inc. PastSince Jan 1, 2017 Accepting new patients
Mark P. Vogel, PH.D and Associates PastSince Mar 30, 2018 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074507-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

26 Conkey Ave
Norwich, NY 13815-1756

Mailing address

PO Box 411
Norwich, NY 13815-0411
Phone (315) 308-0112

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2016.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1992965586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138150411",
            "telephone_number": "315-308-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CONKEY AVE",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151756",
            "telephone_number": "315-308-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KIERNAN",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074507-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.