Individual provider Active NPI

Kristin Luce, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1114323037
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73 078416 Issued in NY
Practice address
2075 Scottsville Rd
Rochester, NY 14623-2021
Phone
(585) 429-2700
Fax
(585) 429-2800
NPI assigned
Nov 5, 2014
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 73 078416 NY Primary

Addresses

Primary practice location

2075 Scottsville Rd
Rochester, NY 14623-2021

Mailing address

300 Hylan Dr # 145
Rochester, NY 14623-4216
Phone (585) 350-6792

Other practice location 1

300 Hylan Dr # 145
Rochester, NY 14623-4216
Phone (585) 350-6792

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR Health Information Exchange (HIE) Hillside Childrens Center

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
73 078416NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Childrens Center Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114323037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HYLAN DR # 145",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234216",
            "telephone_number": "585-350-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SCOTTSVILLE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232021",
            "telephone_number": "585-429-2700",
            "fax_number": "585-429-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hylan Dr # 145",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146234216",
            "country_code": "US",
            "telephone_number": "585-350-6792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCE",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 078416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "Y",
            "affiliationName": "Hillside Childrens Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2075 Scottsville Rd",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146232021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.