Active NPI
Ronald L. Kissick, CSW & Patricia a. Kissick, CSW, PLLC
- Clinical Social Worker
- Endwell, NY
National Provider Identifier
1316056450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RONALD L. KISSICK, CSW & PATRICIA A. KISSICK, CSW, PLLC
- Doing business as
- Personal Resource Center
- Practice address
- 3220 Pearl St
Endwell, NY 13760-5758 - Phone
- (607) 754-4520
- Fax
- (607) 754-4021
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald L Kissick, CSW
- Title
- Owner Partner
- Phone
- (607) 754-4520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3220 Pearl St
Endwell, NY 13760-5758
Mailing address
3220 Pearl St
Endwell, NY 13760-5758
Phone (607) 754-4520
Other names 1
- Personal Resource Center
National Provider Directory
National Provider DirectoryLocations
3220 Pearl St
Endwell, NY 13760
Phone (607) 729-8410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316056450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 PEARL ST",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137605758",
"telephone_number": "607-754-4520",
"fax_number": "607-754-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 PEARL ST",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137605758",
"telephone_number": "607-754-4520",
"fax_number": "607-754-4021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD L. KISSICK, CSW & PATRICIA A. KISSICK, CSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KISSICK",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER PARTNER",
"authorized_official_telephone_number": "607-754-4520",
"authorized_official_credential": "CSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Personal Resource Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Endwell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.