KATHERINE MARY EVANICO LCSW
NPI 1033794821
Social Worker - Clinical in Saratoga Springs, NY
About Katherine Mary Evanico Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE MARY EVANICO LCSW (NPI 1033794821) is an individual clinical provider in Saratoga Springs, New York, licensed in New York (089222) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katherine Mary Evanico Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Katherine Evanico reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saratoga Springs, NY 12866
- Reassigned Medicare billing, New York enrollment
- 456 clinicians in this Medicare group
Albany, NY 12205
- Reassigned Medicare billing, New York enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12866 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SARATOGA SPRINGS, NY 12866
SARATOGA SPRINGS, NY 12866
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katherine Evanico's NPI number?
The NPI number for Katherine Evanico is 1033794821. It was assigned to this individual provider in the NPPES registry on March 12, 2021.
Where is Katherine Evanico located?
Katherine Evanico practices at 211 Church St, Saratoga Springs, NY 12866. The listed phone number is (518) 580-2865.
What is Katherine Evanico's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Katherine Evanico enrolled in Medicare?
Yes. Katherine Evanico is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Katherine Evanico's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Evanico reassigns Medicare benefits to 2 organizations: Saratoga Hospital (Saratoga Springs, NY) and Northeast Psychological Associates PLLC (Albany, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Evanico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katherine Evanico was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katherine Mary Evanico, LCSW · NPI 1033794821
Clinical provider in Saratoga Springs, New York. Individual provider, active in the CMS NPPES registry since March 12, 2021.
## Identity
- **NPI:** 1033794821 (Entity type: Individual)
- **Enumerated:** March 12, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 089222 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 CHURCH ST, Saratoga Springs, NY 12866-1090
- **Phone:** (518) 580-2865
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saratoga Hospital (NPI 1073569331, Saratoga Springs, NY); Northeast Psychological Associates PLLC (NPI 1447817093, Albany, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1033794821) · Data from the CMS NPPES public registry.