Kristina Cherubino

Individual provider Active NPI Social Worker · East Greenbush, NY

NPI 1033957352 · NPPES record last updated Jul 19, 2024

Key facts

NPI
1033957352
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
121130-01 (NY)
Practice address
673 Columbia Tpke
East Greenbush, NY 12061-2130
Phone
(518) 233-0544
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
121130-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capital District Beginnings Past
since Jul 21, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 121130-01 NY Yes

Addresses

Primary practice location

673 Columbia Tpke
East Greenbush, NY 12061-2130

Mailing address

12 Havenbrook CT
Cohoes, NY 12047-4942
Phone (518) 322-0180

Other providers in East Greenbush, NY

All providers in East Greenbush, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.