KATHERINE TINEO-KOMATSU LCSW
NPI 1063910412
Social Worker - Clinical in New York, NY

Q: What is Katherine Tineo-komatsu's NPI number?

The NPI number for Katherine Tineo-komatsu is 1063910412. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Q: What is Katherine Tineo-komatsu's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since January 30, 2018PECOS Enrolled

622 W 168TH ST, NEW YORK, NY 10032(646) 627-6768 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2023, Nov 26, 2019, Apr 25, 2019 (3 updates tracked since 2019).

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About Katherine Tineo-komatsu Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE TINEO-KOMATSU LCSW (NPI 1063910412) is an individual clinical provider in New York, New York, licensed in New York (086508) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063910412

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHERINE TINEO-KOMATSUCredential: LCSW

Location Address622 W 168TH STNew York, NY 10032-3720

Mailing Address90 La Salle St Apt 14aNew York, NY 10027-4722

Phone(646) 627-6768

Sole ProprietorYes

Enumeration DateJanuary 30, 2018

Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1063910412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 086508

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

622 W 168TH ST, New York, NY 10032

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Tineo-komatsu Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $65.69 – $198.19

Typical copayment $0.00 (range $16.42 – $49.54)

Most-billed visit code NA

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.

Internal Medicine (Nephrology)

622 W 168TH ST, PH4-124
NEW YORK, NY 10032

New York County (212) 305-5020

CHARLES D RESOR

Internal Medicine