Heather Ann Kipping-Regitano, L.C.S.W.-R.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R056766-1 Issued in NY

Practice address

4284 Fraser Fir Dr
Manlius, NY 13104-8339

Phone

(315) 491-4445

Fax

(315) 682-6016

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Prof. Heather Ann Harfosh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bradenton Counseling Center, Inc.

  • Mental Health Counselor
  • Bradenton, FL
  • NPI 1639472939

  Clinical

  NPD (past)
• Center of Revitalizing Psychiatry PC

  • Adult Mental Health Clinic/Center
  • Sarasota, FL
  • NPI 1538572854
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1396704300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 FRASER FIR DR",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048339",
            "telephone_number": "315-491-4445",
            "fax_number": "315-682-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 FRASER FIR DR",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048339",
            "telephone_number": "315-491-4445",
            "fax_number": "315-682-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPPING-REGITANO",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Prof.",
        "credential": "L.C.S.W.-R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056766-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HARFOSH",
            "middle_name": "ANN",
            "prefix": "PROF.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Archana Kathpal, MD
• Scott Paul Kavanagh, D. MIN.
• Caroline W. Keib Cramer, MD
• Muhammad Sami Khan, MBBS
• Kyu-Jin Kim, M.D.
• Christine Louise Kirkman, MSN,RN,PNP
• Pamela Tiller Knox, N.P.
• Erin Elizabeth Kolceski, M.S., CCC-SLP
• David M Konys, DDS,MS
• Christoph Peter Kothe

• Clinical Social Worker in Manlius, NY
• Providers in Manlius, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.