Active NPI
Kristin Li
- Clinical Social Worker
- Stamford, CT
National Provider Identifier
1356793400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006744
- Practice address
- 76 Progress Dr
Medical Suites
Stamford, CT 06902-3600 - Phone
- (646) 325-6670
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006744 | CT | Primary |
| Clinical Social Worker | 1041C0700X | R058506-1 | NY |
Addresses
Primary practice location
76 Progress Dr
Medical Suites
Stamford, CT 06902-3600
Mailing address
69 Relihan Road
Darien, CT 06820
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
| License | State | Type | Specialty |
|---|---|---|---|
| R058506-1 | NY | MD | Clinical Social Worker |
| 006744 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1356793400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 RELIHAN ROAD",
"city": "DARIEN",
"state": "CT",
"postal_code": "06820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 PROGRESS DR",
"address_2": "MEDICAL SUITES",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023600",
"telephone_number": "646-325-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "KRISTIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006744",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R058506-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.