Active NPI
Kristen Valletta, LCSW, CASAC MASTER
- Clinical Social Worker
- Staten Island, NY
National Provider Identifier
1043899404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081877
- Practice address
- 215A Joline Ave
Staten Island, NY 10307-2080 - Phone
- (973) 713-5683
- NPI assigned
- Apr 5, 2021
- 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 | 44SC06018400 | NJ | |
| Clinical Social Worker | 1041C0700X | 081877 | NY | Primary |
Addresses
Primary practice location
215A Joline Ave
Staten Island, NY 10307-2080
Mailing address
215A Joline Ave
Staten Island, NY 10307-2080
Phone (718) 818-5777
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06018400 | NJ | MD | Clinical Social Worker |
| 081877 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1043899404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215A JOLINE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103072080",
"telephone_number": "718-818-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215A JOLINE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103072080",
"telephone_number": "973-713-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLETTA",
"first_name": "KRISTEN",
"credential": "LCSW, CASAC MASTER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06018400",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.