Individual provider Active NPI

Kristen D Dinitto, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1275958126
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085632-01 Issued in NY
Practice address
117 Dobbin St
Brooklyn, NY 11222-5502
Phone
(347) 668-1490
NPI assigned
Mar 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 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 085632-01 NY Primary

Addresses

Primary practice location

117 Dobbin St
Brooklyn, NY 11222-5502

Mailing address

122 West St Apt 5F
Brooklyn, NY 11222-1976
Phone (347) 668-1490

Other practice location 1

122 West St Apt 5F
Brooklyn, NY 11222-1976
Phone (347) 668-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914003625 NY Practitioner - Clinical Social Worker 5799059754 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 Dobbin St
Suite 305B
Brooklyn, NY 11222-2803
Phone (347) 668-1490

122 W St
Apt 5F
Brooklyn, NY 11222-1976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085632-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1393718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1275958126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WEST ST APT 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112221976",
            "telephone_number": "347-668-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DOBBIN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225502",
            "telephone_number": "347-668-1490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 West St Apt 5F",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112221976",
            "country_code": "US",
            "telephone_number": "347-668-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINITTO",
        "first_name": "KRISTEN",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-02",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085632-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.