Constantina Irene Kallinteris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW0204499 Issued in PA

Practice address

116 Renastar Rd
Stroudsburg, PA 18360-7208

Phone

(570) 977-1384

NPI assigned

Feb 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Inner Compass Counseling

  • Community/Behavioral Health Agency
  • Stroudsburg, PA
  • NPI 1154983534
  NPD Authorized official

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1043719347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 RENASTAR RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607208",
            "telephone_number": "570-420-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 RENASTAR RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607208",
            "telephone_number": "570-977-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLINTERIS",
        "first_name": "CONSTANTINA",
        "middle_name": "IRENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "130044",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW0204499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahlia Kai Joseph-Pauline, DO
• Jacqueline Desiree Joseph, CRNP
• Tamre Marie Joyce
• Jaimie Juschitsch
• Aubry Kacsur, MS CCC-SLP
• Jacob Kanyuk, PT. DPT
• Garima Kapur, DDS
• Stephanie Kassanoff, MS, RD, LDN
• Katherine M Papazoglou
• Kamaldeep Kaur, DDS

• All providers in Stroudsburg, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.