Active NPI
Kristin Masters, LCSW
- Clinical Social Worker
- Whitesboro, NY
National Provider Identifier
1396917175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R045555
- Practice address
- 49 Main St
Whitesboro, NY 13492-1022 - Phone
- (315) 733-4581
- Fax
- (315) 736-2990
- NPI assigned
- Apr 1, 2008
- Last updated
- Apr 1, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R045555 | NY | Primary |
Addresses
Primary practice location
49 Main St
Whitesboro, NY 13492-1022
Mailing address
49 Main St
Whitesboro, NY 13492-1022
Phone (315) 733-4581
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 |
|---|---|---|---|
| R045555 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1396917175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 MAIN ST",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134921022",
"telephone_number": "315-733-4581",
"fax_number": "315-736-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 MAIN ST",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134921022",
"telephone_number": "315-733-4581",
"fax_number": "315-736-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERS",
"first_name": "KRISTIN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R045555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitesboro, NY
- Lori Ann Myers
- Lisa Lucas
- Elaine Marie Lyszczarz, RPH
- Danielle Manolescu
- Melvin Joseph Martin, RPH PHARMACY
- Sara Lynn Mathers, M.S.
- Matthew Sanchez Family Health NP Walk-in Services, PLLC (MedGo Walk-In)
- Matthew Sanchez Family Health Nurse Practitioner, PLLC
- Kimberly Marie Meislin, RN
- Meredith Gorton Mental Health Counseling Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.