Individual provider Active NPI

Krista Marie Gascon, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1316241094
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081081 Issued in NY
Practice address
625 Panorama TRL Ste 210
Rochester, NY 14625-2408
Phone
(585) 364-2545
Fax
(585) 364-2545
NPI assigned
Jan 10, 2011
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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 081081 NY Primary

Addresses

Primary practice location

625 Panorama TRL Ste 210
Rochester, NY 14625-2408

Mailing address

625 Panorama TRL Ste 210
Rochester, NY 14625-2408
Phone (585) 642-5453

Other names 1

  • Krista Marie O'Keefe Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
081081NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsford Therapy, LCSW, PLLC Clinical CurrentSince May 8, 2022 Accepting new patients
Krista Gascon, LCSW, PLLC Clinical CurrentSince Jul 21, 2024 Accepting new patients

Locations

625 Panorama Trl
Ste 210
Rochester, NY 14625
Phone (585) 364-2545

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1316241094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRL STE 210",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252408",
            "telephone_number": "585-642-5453",
            "fax_number": "585-267-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRL STE 210",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252408",
            "telephone_number": "585-364-2545",
            "fax_number": "585-364-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASCON",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "O'KEEFE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.