Kathleen Sisti, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

084188 Issued in NY

Practice address

811 W Jericho Tpke Ste 106E
Smithtown, NY 11787-3220

Phone

(631) 265-9850

Fax

(631) 265-9852

NPI assigned

May 22, 2019

Last updated

May 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1144887340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W JERICHO TPKE STE 106E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873220",
            "telephone_number": "631-265-9850",
            "fax_number": "631-265-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W JERICHO TPKE STE 106E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873220",
            "telephone_number": "631-265-9850",
            "fax_number": "631-265-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTI",
        "first_name": "KATHLEEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WILLIAMS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Murene Simpson
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• Ranjit Singh, MD
• Laure Sinnhuber-Giles, CM
• Christina Sisino, LPN
• Charles T Sitrin, MD
• SJ Chiropractic, P.C.
• Joshua Skiseng, LMSW
• Genna Helene Sklar, LCSW
• Evan Skolnik, PSY.D.

• Social Worker in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.