Kristie Calvillo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5446 Issued in CT

Practice address

55 Old Post Rd No 2 Ste 2C
Greenwich, CT 06830-6200

Phone

(203) 930-7133

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Behavior Therapy Group, LLC

  • Psychologist
  • Greenwich, CT
  • NPI 1073156873

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1003459801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OLD POST RD NO 2 STE 2C",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD POST RD NO 2 STE 2C",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306200",
            "telephone_number": "203-930-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVILLO",
        "first_name": "KRISTIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "5446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent M Buonanno, DC
• Kristen B Burleson, RN
• Peter Butryn
• Byram Pharmacy LLC
• Jeanmarie Cahill, LCSW
• Mark H Camel, MD
• Alison Michelle Camillo
• Ella Cannon, LCSW
• Michael S Canter, M.D.
• Matthew Cantlon, MD

• Clinical Social Worker in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.