Krista M Altman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0769481 Issued in NY

Practice address

1025 Northern Blvd.
Suite 201
Roslyn, NY 11576

Phone

(516) 627-6201

Fax

(516) 627-6943

NPI assigned

Sep 10, 2009

Last updated

Oct 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Long Island DBT Group

  • Clinical Social Worker
  • Roslyn, NY
  • NPI 1396924577
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1205169141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 NORTHERN BLVD.",
            "address_2": "SUITE 201",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576",
            "telephone_number": "516-627-6201",
            "fax_number": "516-627-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 NORTHERN BLVD.",
            "address_2": "SUITE 201",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576",
            "telephone_number": "516-627-6201",
            "fax_number": "516-627-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "KRISTA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0769481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Alexander, PA-C
• John Alfarone, M.D.
• Allergy & Pulmonary Medical of Long Island PC
• Fazia Allihussain, PA
• June Alpert-Jacobs, MS, RD, CDN
• Mel Altman, DDS
• Miriam I Altman, M.S., CCC/SLP
• Selma Alushaj, PA
• Am-PM Family Footcare PLLC
• Jessica L Amaya Gonzalez, ADULT/GERONTOLOGY NP

• Clinical Social Worker in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.