Individual provider Active NPI

Kristin Lynn Visalli, LMSW

  • Social Worker
  • Parish, NY
National Provider Identifier
1316631849
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
114434 Issued in NY
Practice address
640 County Route 22
Parish, NY 13131-3339
Phone
(315) 625-5210
Fax
(315) 625-7974
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 114434 NY Primary

Addresses

Primary practice location

640 County Route 22
Parish, NY 13131-3339

Mailing address

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564

Other practice location 1

26 Academy St
Mexico, NY 13114-3010
Phone (315) 963-8400 ext. 4208

Other practice location 2

16 Fravor Rd
Mexico, NY 13114-3011
Phone (315) 963-8400 ext. 4208

Other practice location 3

2 Hinman Rd
Pulaski, NY 13142-2200
Phone (315) 298-2570

Other practice location 4

4624 Salina St
Pulaski, NY 13142-2102
Phone (315) 298-2696

Other practice location 5

5856 Scenic Ave
Mexico, NY 13114-3012
Phone (315) 963-4133

Other practice location 6

3045 East Ave Ste G400
Central Square, NY 13036-2611
Phone (315) 675-9200

Other practice location 7

124 Salisbury St
Sandy Creek, NY 13145-7706
Phone (315) 387-3620

Other practice location 8

7 Bridge St
Phoenix, NY 13135-1906
Phone (315) 695-4700

Other practice location 9

10 George St
Oswego, NY 13126-3276
Phone (315) 342-0880

Other practice location 10

10 Carlton Dr
Parish, NY 13131-3308
Phone (315) 625-4388

Other practice location 11

510 S 4th St Ste 600
Fulton, NY 13069-2952
Phone (315) 598-4790

Other practice location 12

639 County Route 22
Parish, NY 13131-3339
Phone (315) 625-5213

Other practice location 13

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564

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

LicenseStateTypeSpecialty
114434NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1316631849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 COUNTY ROUTE 22",
            "city": "PARISH",
            "state": "NY",
            "postal_code": "131313339",
            "telephone_number": "315-625-5210",
            "fax_number": "315-625-7974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Academy St",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143010",
            "country_code": "US",
            "telephone_number": "315-963-8400 x4208",
            "fax_number": "315-630-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Fravor Rd",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143011",
            "country_code": "US",
            "telephone_number": "315-963-8400 x4208",
            "fax_number": "315-630-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Hinman Rd",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422200",
            "country_code": "US",
            "telephone_number": "315-298-2570",
            "fax_number": "315-298-7457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4624 Salina St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422102",
            "country_code": "US",
            "telephone_number": "315-298-2696",
            "fax_number": "315-298-3460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5856 Scenic Ave",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143012",
            "country_code": "US",
            "telephone_number": "315-963-4133",
            "fax_number": "315-963-4960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3045 East Ave Ste G400",
            "address_purpose": "LOCATION",
            "city": "Central Square",
            "state": "NY",
            "postal_code": "130362611",
            "country_code": "US",
            "telephone_number": "315-675-9200",
            "fax_number": "315-630-3168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Salisbury St",
            "address_purpose": "LOCATION",
            "city": "Sandy Creek",
            "state": "NY",
            "postal_code": "131457706",
            "country_code": "US",
            "telephone_number": "315-387-3620",
            "fax_number": "315-387-2912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "NY",
            "postal_code": "131351906",
            "country_code": "US",
            "telephone_number": "315-695-4700",
            "fax_number": "315-695-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 George St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131263276",
            "country_code": "US",
            "telephone_number": "315-342-0880",
            "fax_number": "315-593-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Carlton Dr",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313308",
            "country_code": "US",
            "telephone_number": "315-625-4388",
            "fax_number": "315-625-4535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 S 4th St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130692952",
            "country_code": "US",
            "telephone_number": "315-598-4790",
            "fax_number": "315-297-4748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 County Route 22",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313339",
            "country_code": "US",
            "telephone_number": "315-625-5213",
            "fax_number": "315-625-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Delano St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131421400",
            "country_code": "US",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-7831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISALLI",
        "first_name": "KRISTIN",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "114434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parish, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.