Kristine Pieczonka, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080084 Issued in NY

Practice address

365 Dupont Ave
Tonawanda, NY 14150-7833

Phone

(716) 874-8423

NPI assigned

Oct 11, 2011

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

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

Medicare enrollment (NPD)

Enrolled

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.

• Brightside LCSW Services, PLLC

  • Clinical Social Worker
  • West Seneca, NY
  • NPI 1871884460
  NPD
• Optimal Therapy Associates Services

  • Occupational Therapy Assistant
  • Tonawanda, NY
  • NPI 1548851520
  NPD
• All Care Physical Therapy Services

  • Physical Therapist
  • Buffalo, NY
  • NPI 1235390899
  NPD (past)

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013292978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 DUPONT AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507833",
            "telephone_number": "716-874-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 DUPONT AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507833",
            "telephone_number": "716-874-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECZONKA",
        "first_name": "KRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01377162",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine A Pettit
• Marie Lynn Pettitt
• Gabriella Mercedes Phifer
• Phillip C Culliton DPM, PC
• Laura Noelle Phillips, LCSW
• Brian M Piekarski, PT
• Pine Pharmaceuticals, LLC
• David D Pliss, DMIN, LCSW
• Nadia Polataiko, M.D.
• Zachary C Pollotta, DPT

• Clinical Social Worker in Tonawanda, NY
• Providers in Tonawanda, 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 Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.