Active NPI
Kirsten Collins, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1033504584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087516
- Practice address
- 509 E 83Rd St Apt 2W
New York, NY 10028-7250 - Phone
- (203) 641-2622
- NPI assigned
- Apr 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090783-1 | NY | |
| Clinical Social Worker | 1041C0700X | 087516 | NY | Primary |
Addresses
Primary practice location
509 E 83Rd St Apt 2W
New York, NY 10028-7250
Mailing address
509 E 83Rd St Apt 2W
New York, NY 10028-7250
Phone (203) 641-2622
Other practice location 1
12 E 44th St Fl 4
New York, NY 10017
Phone (646) 559-9019
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
| License | State | Type | Specialty |
|---|---|---|---|
| 087516 | NY | MD | Clinical Social Worker |
| 090783-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1033504584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 E 83RD ST APT 2W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287250",
"telephone_number": "203-641-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 E 83RD ST APT 2W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287250",
"telephone_number": "203-641-2622"
}
],
"practiceLocations": [
{
"address_1": "12 E 44th St Fl 4",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10017",
"country_code": "US",
"telephone_number": "646-559-9019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "KIRSTEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090783-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.