Kimberly a. Hostig Licensed Clinical Social Worker PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

R075574-1 Issued in NY

Legal business name

KIMBERLY A. HOSTIG LICENSED CLINICAL SOCIAL WORKER PLLC

Practice address

8 Stanley Cir Ste 11
Latham, NY 12110

Phone

(518) 222-6752

Fax

(518) 786-0917

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly A. Hostig, LCSW-RNPI 1861478786

Title

Sole Owner

Phone

(518) 222-6752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly A Hostig, LCSW

  • Social Worker
  • Schenectady, NY
  • NPI 1861478786
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1114410701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HAMPTON CIR",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183436",
            "telephone_number": "518-423-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 STANLEY CIR STE 11",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-222-6752",
            "fax_number": "518-786-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY A. HOSTIG LICENSED CLINICAL SOCIAL WORKER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "HOSTIG",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "518-222-6752",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "R075574-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey M. Kiernan, CRNA
• Michelle Lee Kiernozek, OTR/L
• Jennifer Lynn Kilinski, MT-BC, NICU-MT, LCAT
• Kyle Erick Kilts, LCSW-R
• Myung Hyo Kim, MD
• Pamela King-Hall
• Jennifer Kingsley
• Karyn Mackenzie Kipp, OT
• Anne Kirgan, PT
• Nathallie Kiser-Negron, LCSW-R

• Mental Health Clinic/Center (Including Community Mental Health Center) in Latham, NY
• Providers in Latham, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.