MS. KATHLEEN ANN INNES LMSW, MA
NPI 1730676560
Social Worker in Watervliet, NY
About Ms. Kathleen Ann Innes Lmsw, Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KATHLEEN ANN INNES LMSW, MA (NPI 1730676560) is an individual social worker in Watervliet, New York, licensed in New York (098086-1) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.
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 (PECOS)
Ms. Kathleen Ann Innes Lmsw, Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Innes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albany, NY 12203
- Reassigned Medicare billing, New York enrollment
- 2 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.
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 Innes's NPI number?
The NPI number for Kathleen Innes is 1730676560. It was assigned to this individual provider in the NPPES registry on April 17, 2018.
Where is Kathleen Innes located?
Kathleen Innes practices at 12 Lakeshore Dr Apt 1A, Watervliet, NY 12189. The listed phone number is (607) 643-1546.
What is Kathleen Innes's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Kathleen Innes enrolled in Medicare?
Yes. Kathleen Innes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Innes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Innes reassigns Medicare benefits to Creating Connections Together, Lcsw, PLLC (Albany, NY). The 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 Kathleen Innes'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 Kathleen Innes was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ms. Kathleen Ann Innes, LMSW, MA · NPI 1730676560
Social Worker provider in Watervliet, New York. Individual provider, active in the CMS NPPES registry since April 17, 2018.
## Identity
- **NPI:** 1730676560 (Entity type: Individual)
- **Enumerated:** April 17, 2018
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 098086-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 LAKESHORE DR APT 1A, Watervliet, NY 12189-2933
- **Phone:** (607) 643-1546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Creating Connections Together, Lcsw, PLLC (NPI 1871288274, Albany, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1730676560) · Data from the CMS NPPES public registry.