Kristen Schultz Tassiello

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5133 Issued in CT

Practice address

90 Sodom LN
Derby, CT 06418-2608

Phone

(475) 439-9639

NPI assigned

Mar 20, 2019

Last updated

Mar 20, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kristen Schultz LCSW LLC

  • Clinical Social Worker
  • Orange, CT
  • NPI 1982373759
  NPD

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1023578788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SODOM LN",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182608",
            "telephone_number": "475-439-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SODOM LN",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182608",
            "telephone_number": "475-439-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ TASSIELLO",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "5133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Santana, LMSW
• Vani Savalgi, MD
• Roheeni Saxena, PHD, MPH, CPH
• Brittany Schnepp, PA-C
• Jean Stauffer Schoenleber, LCSW
• Kenneth V Schwartz, MD
• Carlos Schweitzer, MD
• Barbara Selleck, LCSW
• Mark Senzer, M.S.W.
• Mir Shah

• Clinical Social Worker in Derby, CT
• Providers in Derby, 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 Mar 20, 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.