Individual provider Active NPI

Krista Metrinko, LMSW

  • Clinical Social Worker
  • Rocky Point, NY
National Provider Identifier
1336454099
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070641 Issued in NY
Practice address
415 Route 25a
Second Floor, Suite 104
Rocky Point, NY 11778-8845
Phone
(631) 924-3741
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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 070641 NY Primary

Addresses

Primary practice location

415 Route 25a
Second Floor, Suite 104
Rocky Point, NY 11778-8845

Mailing address

2 Wyandanch TRL
Ridge, NY 11961-2233
Phone (631) 848-3761

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
070641NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1336454099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WYANDANCH TRL",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612233",
            "telephone_number": "631-848-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROUTE 25A",
            "address_2": "SECOND FLOOR, SUITE 104",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788845",
            "telephone_number": "631-924-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METRINKO",
        "first_name": "KRISTA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.