Kristine S Consiglio, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069308 Issued in NY

Practice address

3019 County Complex Dr
Canandaigua, NY 14424-9505

Phone

(585) 396-4363

Fax

(585) 396-4993

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Helen Kristine Sorg Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396858866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 EVERGREEN CIR",
            "city": "WALWORTH",
            "state": "NY",
            "postal_code": "145689426",
            "telephone_number": "315-986-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 COUNTY COMPLEX DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249505",
            "telephone_number": "585-396-4363",
            "fax_number": "585-396-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSIGLIO",
        "first_name": "KRISTINE",
        "middle_name": "S",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "EM",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "103283EU",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07300069308",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "3109089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "SORG",
            "middle_name": "KRISTINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janelle Carmela Colosi
• Debra Marie Combs, M.S.ED, ATC
• Morgan N. Conley, CTRS
• April L Connery, PHD
• Jamie Lynn Connor, NP
• Demetrios Louis Consolo
• Aubrey L Conti, RN
• Susan Marie Cooley
• E Kaye Cooper
• Deborah P Coots, RN

• Clinical Social Worker in Canandaigua, NY
• Providers in Canandaigua, 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 Jul 9, 2007; 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.