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MS. KATHLEEN M BLAIR MASTER OF SOCIAL WOR
NPI 1689751414
Social Worker - Clinical in Ithaca, NY

Active since November 01, 2006Opted out of Medicare · through Dec 8, 2026
950 DANBY RD, ITHACA, NY 14850(607) 260-3100 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kathleen M Blair Master Of Social Wor NPPES

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

MS. KATHLEEN M BLAIR MASTER OF SOCIAL WOR (NPI 1689751414) is an individual clinical provider in Ithaca, New York and active in the NPI registry since November 2006. She has opted out of Medicare through December 8, 2026.

NPPES Registry Identity

NPI1689751414
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHLEEN M BLAIRCredential: MASTER OF SOCIAL WOR
Location Address950 DANBY RDIthaca, NY 14850-5778
Mailing Address950 Danby RdIthaca, NY 14850-5778 · (607) 260-3100
Phone(607) 260-3100
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1689751414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
950 DANBY RD, Ithaca, NY 14850
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kathleen M Blair Master Of Social Wor has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2022 through December 8, 2026.

Opt-Out Effective DateDecember 8, 2022
Opt-Out In Effect ThroughDecember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LAWRENCE WARD
Social Worker (Clinical)
950 DANBY RD, SUITE 179, CHALLENGE INDUSTRIES
ITHACA, NY 14850
Tompkins County (607) 272-8990
ALCIBIADES FRANCISCO ALFARO LMSW, CASAC
Social Worker (Clinical)
950 DANBY RD
ITHACA, NY 14850
Tompkins County (607) 645-4047
LILLY JAY
Psychologist (Clinical)
950 DANBY RD
ITHACA, NY 14850
Tompkins County (607) 260-3100
LORI ROSSI LMT
Massage Therapist
950 DANBY RD, SUITE 201-O
ITHACA, NY 14850
Tompkins County (607) 708-0279
ANGELA JANE COMPRONE
Social Worker (Clinical)
950 DANBY RD
ITHACA, NY 14850
Tompkins County (607) 592-8764
JENNIFER L WHITAKER LMT
Massage Therapist
950 DANBY RD
ITHACA, NY 14850
Tompkins County (607) 201-4926

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 Kathleen Blair's NPI number?

The NPI number for Kathleen Blair is 1689751414. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kathleen Blair located?

Kathleen Blair practices at 950 Danby Rd, Ithaca, NY 14850. The listed phone number is (607) 260-3100.

What is Kathleen Blair's specialty?

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

Is Kathleen Blair enrolled in Medicare?

No. Kathleen Blair has opted out of Medicare through December 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathleen Blair was last updated on June 10, 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.