Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Mary Evanico, LCSW

Individual provider Clinical Social Worker · NPI 1033794821

Katherine Mary Evanico, LCSW is a Clinical Social Worker in Saratoga Springs, New York. Qualified in 2016, 10 years ago. Practices with Northeast Psychological Associates PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

211 Church St
Saratoga Springs, NY 12866-1090
Phone: (518) 580-2865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089222 (NY)

Record details

NPI number1033794821
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 12, 2021
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northeast Psychological Associates Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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