NPIMap

Organization Active NPI

Michelle Kwintner

  • Clinical Social Worker
  • Ithaca, NY
National Provider Identifier
1356663223
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076591 Issued in NY
Legal business name
MICHELLE KWINTNER
Practice address
120 E Buffalo St
Ste. 7
Ithaca, NY 14850-4266
Phone
(607) 592-4134
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Ms. Michelle Kwintner, LCSW-RNPI 1568638658
Title
Therapist
Phone
(607) 592-4134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 076591 NY Primary

Addresses

Primary practice location

120 E Buffalo St
Ste. 7
Ithaca, NY 14850-4266

Mailing address

120 E Buffalo St
Ste. 7
Ithaca, NY 14850-4266
Phone (607) 592-4134

National Provider Directory

National Provider Directory

Locations

120 E Buffalo St
Ste 7
Ithaca, NY 14850
Phone (607) 592-4134

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1356663223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E BUFFALO ST",
            "address_2": "STE. 7",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504266",
            "telephone_number": "607-592-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E BUFFALO ST",
            "address_2": "STE. 7",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504266",
            "telephone_number": "607-592-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE KWINTNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "KWINTNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "607-592-4134",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.