Kristin Condie, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R084723 Issued in NY

Practice address

289 McFadden Rd
Apalachin, NY 13732-3808

Phone

(607) 761-7782

NPI assigned

Nov 7, 2007

Last updated

Jan 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children and Family Counseling Services LCSW, PLLC

  • Community/Behavioral Health Agency
  • Apalachin, NY
  • NPI 1528689585
  Medicare reassignment NPD Authorized official
• Tioga County

  dba Tioga County Department of Mental Hygiene

  • Clinical Social Worker
  • Owego, NY
  • NPI 1124099700
  Medicare reassignment NPD
• Tioga County Health Department

  • Public Health or Welfare Agency
  • Owego, NY
  • NPI 1114078268
  NPD

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1013197086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MCFADDEN RD",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137323808",
            "telephone_number": "607-761-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MCFADDEN RD",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137323808",
            "telephone_number": "607-761-7782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1062 State Route 38",
            "address_purpose": "LOCATION",
            "city": "Owego",
            "state": "NY",
            "postal_code": "138270177",
            "country_code": "US",
            "telephone_number": "607-687-4000",
            "fax_number": "607-687-0248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDIE",
        "first_name": "KRISTIN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077541",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R084723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "00618162",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Marie Cafferty
• Karen Carr
• Laurie Chantry, PTA
• Children and Family Counseling Services LCSW, PLLC
• Amy Collins, MD
• Kelly Diane Cone, LPN
• Christopher Dailey, PTA
• Robert Ashley Dickinson III, DPT
• Matthew Christopher Dupre, PTA
• Kathryn Egan, PT

• Clinical Social Worker in Apalachin, NY
• Providers in Apalachin, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.