Individual provider Active NPI

Kristine Victoria Infante, LCSW

  • Social Worker
  • Neptune City, NJ
National Provider Identifier
1184803041
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05460800 Issued in NJ
Practice address
201 W Sylvania Ave Ste 5
Neptune City, NJ 07753-6269
Phone
(732) 927-1044
NPI assigned
Oct 29, 2007
Last updated
Dec 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05460800 NJ Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

201 W Sylvania Ave Ste 5
Neptune City, NJ 07753-6269

Mailing address

330 Shore Dr Apt F-5
Highlands, NJ 07732-1135
Phone (732) 841-6652

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kinfante1008@gmail.com Health Information Exchange (HIE)

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
44SL05460800NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Counseling LLC Past Accepting new patients
Manatee Mental Heath Care, a Professional Corporation Past Accepting new patients

Organizations & group practices 2

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1184803041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SHORE DR APT F-5",
            "city": "HIGHLANDS",
            "state": "NJ",
            "postal_code": "077321135",
            "telephone_number": "732-841-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W SYLVANIA AVE STE 5",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077536269",
            "telephone_number": "732-927-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFANTE",
        "first_name": "KRISTINE",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05460800",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kinfante1008@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 W Sylvania Ave Ste 5",
            "city": "Neptune City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077536269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Neptune City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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.