Active NPI
Kristen Elise Raisner
- Social Worker
- New York, NY
National Provider Identifier
1225975691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 130372
- Practice address
- 563 W 170TH St Ste a
New York, NY 10032-3311 - Phone
- (917) 310-0765
- NPI assigned
- May 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 130372 | NY | Primary |
Addresses
Primary practice location
563 W 170TH St Ste a
New York, NY 10032-3311
Mailing address
612 W 138TH St Apt 4R
New York, NY 10031-7834
Other practice location 1
2501 Glebe Ave
Bronx, NY 10461-3109
Phone (212) 613-0300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 130372 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Social Skills in Motion LCSW PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- New York, NY
- NPI 1679343701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777680000000",
"number": "1225975691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 W 138TH ST APT 4R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100317834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "563 W 170TH ST STE A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323311",
"telephone_number": "917-310-0765"
}
],
"practiceLocations": [
{
"address_1": "2501 Glebe Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104613109",
"country_code": "US",
"telephone_number": "212-613-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAISNER",
"first_name": "KRISTEN",
"middle_name": "ELISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-02",
"last_updated": "2026-05-02",
"certification_date": "2026-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "130372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 2, 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.