Individual provider Active NPI

Kristie Leigh Scott-Lein, LCSW-R

  • Clinical Social Worker
  • Norwich, NY
National Provider Identifier
1093891707
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072741-1 Issued in NY
Practice address
263 State Highway 320
Norwich, NY 13815-3545
Phone
(607) 334-4250
Fax
(607) 334-9178
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 072741-1 NY Primary

Addresses

Primary practice location

263 State Highway 320
Norwich, NY 13815-3545

Mailing address

263 State Highway 320
Norwich, NY 13815-3545
Phone (607) 334-4250

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
I20040819001534 NY Practitioner - Clinical Social Worker 9436123197 Practice locations: Norwich, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

263 State Hwy 320
Norwich, NY 13815-3545
Phone (607) 334-4250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072741-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1093891707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 STATE HIGHWAY 320",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138153545",
            "telephone_number": "607-334-4250",
            "fax_number": "607-334-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 STATE HIGHWAY 320",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138153545",
            "telephone_number": "607-334-4250",
            "fax_number": "607-334-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT-LEIN",
        "first_name": "KRISTIE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072741-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.