Individual provider Active NPI

Kristine M. Sokolofsky, MSW

  • Clinical Social Worker
  • Alden, NY
National Provider Identifier
1366537755
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088170-1 Issued in NY
Practice address
11901 Broadway St
Alden, NY 14004-9454
Phone
(716) 937-3300
NPI assigned
Oct 3, 2006
Last updated
May 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X 088170-1 NY Primary

Addresses

Primary practice location

11901 Broadway St
Alden, NY 14004-9454

Mailing address

11901 Broadway St
Alden, NY 14004-9454
Phone (716) 937-3300

Other identifiers 2

IdentifierTypeStateIssuer
00030241501OtherNYUNIVERA
000506354005OtherNYCOMMUNITY BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200601001381 NY Practitioner - Clinical Social Worker 4880015742 Practice locations: Alden, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11901 Broadway St
Alden, NY 14004-9454
Phone (716) 937-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088170-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alden Mental Health Counseling Wellness, PLLC CurrentSince Feb 1, 2024 Accepting new patients
Alden Counseling & Wellness, LLC Clinical PastSince May 10, 2020 Accepting new patients
Catholic Charities of Buffalo PastSince Mar 10, 2021 Accepting new patients

Locations

11901 Broadway St
Alden, NY 14004
Phone (716) 937-3300

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1366537755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049454",
            "telephone_number": "716-937-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049454",
            "telephone_number": "716-937-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOFSKY",
        "first_name": "KRISTINE",
        "middle_name": "M.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088170-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030241501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000506354005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alden, NY

Sources for this page

Verify at the official NPI Registry.