Kristen Pupo, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

046995R Issued in NY

Practice address

65 Parrott Rd
BLDG 10
West Nyack, NY 10994-1025

Phone

(845) 624-5564

NPI assigned

Dec 14, 2011

Last updated

Oct 8, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rockland Boces

  • Local Education Agency (LEA)
  • W Nyack, NY
  • NPI 1720389687
  NPD (past)

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1427327816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PARROTT RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "10994",
            "telephone_number": "845-624-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PARROTT RD",
            "address_2": "BLDG 10",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941025",
            "telephone_number": "845-624-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPO",
        "first_name": "KRISTEN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "046995R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cimino Poterbin, FNP-BC
• Marc Price, DC
• Pamela Primakov
• Sergey Primakov
• Jeff Scott Pritsky, RPA-C
• Jennifer A Quitadamo, L.AC
• Enzo A Ragucci, MD
• Karen Ramsey, COTA
• Geetha P Rao, MD
• Judith Carol Raspanti

• Clinical Social Worker in West Nyack, NY
• Providers in West Nyack, 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 Oct 8, 2012; 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.