Individual provider Active NPI

Kristen Ann Spada Sosa, LCSW

  • Clinical Social Worker
  • Kingston, NY
National Provider Identifier
1073652640
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079616-1 Issued in NY
Practice address
8 N Front St
Kingston, NY 12401-3814
Phone
(845) 275-4920
Fax
(888) 393-2523
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 079616-1 NY Primary

Addresses

Primary practice location

8 N Front St
Kingston, NY 12401-3814

Mailing address

PO Box 623
Highland, NY 12528-0623
Phone (845) 275-4920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000239 NY Practitioner - Clinical Social Worker 8022264241 Practice locations: Kingston, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 N Front St
Kingston, NY 12401-3814
Phone (845) 214-8477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079616-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rubin Psychological Services ,P.C. PastSince Aug 1, 2004 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1073652640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125280623",
            "telephone_number": "845-275-4920",
            "fax_number": "888-393-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N FRONT ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013814",
            "telephone_number": "845-275-4920",
            "fax_number": "888-393-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADA SOSA",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079616-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.