Individual provider Active NPI

Kristin Strelec, LCSW

  • Clinical Social Worker
  • Glen Cove, NY
National Provider Identifier
1033459318
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73074859 Issued in NY
Practice address
Seaman & Walnut Roads
Gribbin School Glen Cove School District
Glen Cove, NY 11542
Phone
(516) 801-7210
Fax
(516) 801-7219
NPI assigned
Feb 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 73074859 NY Primary

Addresses

Primary practice location

Seaman & Walnut Roads
Gribbin School Glen Cove School District
Glen Cove, NY 11542

Mailing address

Seaman & Walnut Roads
Gribbin School Glen Cove School District
Glen Cove, NY 11542
Phone (516) 801-7210

Other names 1

  • Miss Kristin Strelec Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
73074859NYMDClinical Social Worker
059150NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1033459318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SEAMAN & WALNUT ROADS",
            "address_2": "GRIBBIN SCHOOL GLEN COVE SCHOOL DISTRICT",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-801-7210",
            "fax_number": "516-801-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEAMAN & WALNUT ROADS",
            "address_2": "GRIBBIN SCHOOL GLEN COVE SCHOOL DISTRICT",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-801-7210",
            "fax_number": "516-801-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRELEC",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73074859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "STRELEC",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.