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KATIE L. VINE LCSW
NPI 1992052773
Social Worker - Clinical in Plattsburgh, NY

Active since August 10, 2012PECOS Enrolled
130 ARIZONA AVE, PLATTSBURGH, NY 12903(518) 565-4060 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2023, Feb 14, 2020 (2 updates tracked since 2020).

About Katie L. Vine Lcsw NPPES

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

KATIE L. VINE LCSW (NPI 1992052773) is an individual clinical provider in Plattsburgh, New York, licensed in New York (120568) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992052773
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATIE L. VINECredential: LCSW
Location Address130 ARIZONA AVEPlattsburgh, NY 12903-4908
Mailing Address37 Pembroke StPortland, ME 04103-5112 · (207) 956-2047
Phone(518) 565-4060
Sole ProprietorNo
Enumeration DateAugust 10, 2012
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1992052773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 120568✔ Licensed in ME · LC15400
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.
130 ARIZONA AVE, Plattsburgh, NY 12903
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Secondary Practice Locations 2

Location 111 Baxter BlvdPortland, ME 04101-1801 · Phone (207) 775-5671 · Fax (207) 871-1243
Location 2131 Ocean StSouth Portland, ME 04106-3649 · Phone (207) 261-0231

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie L. Vine 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.

Medicare Billing Reassignment

Medicare enrollment records show Katie Vine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catholic Charities Maine
174 mi
Clinical
307 CONGRESS STREET
Portland, ME 04101
  • Reassigned Medicare billing, Maine enrollment
  • 11 clinicians in this Medicare group
NPI 1013955947 (207) 781-8550

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 12903 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 11

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

ELIZABETH PARROTTE LMSW
Social Worker
130 ARIZONA AVE
PLATTSBURGH, NY 12903
Clinton County (518) 807-3035
SONYA MINASI LMHC-P
Counselor (Mental Health)
130 ARIZONA AVE
PLATTSBURGH, NY 12903
Clinton County (518) 565-4060
DANA DIXON RN
Registered Nurse (Psychiatric/Mental Health)
130 ARIZONA AVE
PLATTSBURGH, NY 12903
Clinton County (315) 323-7071
BRITTANY LAPHAM LMHC
Counselor (Mental Health)
130 ARIZONA AVE
PLATTSBURGH, NY 12903
Clinton County (515) 565-4060
CASEY M ROOT-CARON LMHC
Counselor (Mental Health)
130 ARIZONA AVE
PLATTSBURGH, NY 12903
Clinton County (518) 565-4060
KELSIE WELCH
Counselor (Mental Health)
130 ARIZONA AVE, STE 1500
PLATTSBURGH, NY 12903
Clinton County (518) 565-4060
JEAN-LUC FORTIN
Counselor (Mental Health)
130 ARIZONA AVE, STE 1500
PLATTSBURGH, NY 12903
Clinton County (518) 565-4060
ABIGAIL HUCKEBA
Counselor (Addiction (Substance Use Disorder))
130 ARIZONA AVE, STE 1500
PLATTSBURGH, NY 12903
Clinton County (518) 565-4060

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 Katie Vine's NPI number?

The NPI number for Katie Vine is 1992052773. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Where is Katie Vine located?

Katie Vine practices at 130 Arizona Ave, Plattsburgh, NY 12903. The listed phone number is (518) 565-4060.

What is Katie Vine's specialty?

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

Is Katie Vine enrolled in Medicare?

Yes. Katie Vine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katie Vine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Vine reassigns Medicare benefits to Catholic Charities Maine (Portland, ME). 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 Katie Vine'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 Katie Vine was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.