Individual provider Active NPI

Alex Kissinson

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1154193100
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103550 Issued in NY
Practice address
850 7TH Ave Ste 1106
New York, NY 10019-0029
Phone
(646) 797-4340
NPI assigned
Oct 24, 2023
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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 103550 NY Primary

Addresses

Primary practice location

850 7TH Ave Ste 1106
New York, NY 10019-0029

Mailing address

850 7TH Ave Ste 1106
New York, NY 10019-0029
Phone (646) 797-4340

Other names 1

  • Alexandra Kissilenko Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
103550NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jesse Kahn LCSW PLLC CurrentSince Oct 29, 2023 Accepting new patients

Locations

850 7th Ave
Ste 1106
New York, NY 10019
Phone (646) 797-4340

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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1154193100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 7TH AVE STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100190029",
            "telephone_number": "646-797-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 7TH AVE STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100190029",
            "telephone_number": "646-797-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSINSON",
        "first_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "KISSILENKO",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.