Amanda Kistinger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

083429 Issued in NY

Practice address

4587 State Route 81
Greenville, NY 12083-3813

Phone

(518) 965-9039

NPI assigned

Jul 23, 2015

Last updated

Jul 23, 2015By 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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• County of Greene

  dba Greene County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cairo, NY
  • NPI 1255360046
  Medicare reassignment NPD
• County of Greene

  dba Greene County Community Health

  • Clinic/Center
  • Catskill, NY
  • NPI 1932281706
  NPD

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1285019901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4587 STATE ROUTE 81",
            "city": "GREENVILLE",
            "state": "NY",
            "postal_code": "120833813",
            "telephone_number": "518-965-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4587 STATE ROUTE 81",
            "city": "GREENVILLE",
            "state": "NY",
            "postal_code": "120833813",
            "telephone_number": "518-965-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTINGER",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Allen Kearney, CRPA-P
• Martin Frederick Kelly
• Quinn Patrick Kelly
• Rebecca Ann Kelly
• Kelly's Pharmacy Inc.
• Brooke Latart, LMSW
• Geoffrey P Little, PA-C
• Hui-Hsin Liu, L.AC
• Debra Ann Macko, DC
• Rose Masi, PT, DPT

• Clinical Social Worker in Greenville, NY
• Providers in Greenville, 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 Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.