Kaitlyn Willsey

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

129024-01 Issued in NY

Practice address

3 E Cross St
Croton Falls, NY 10519-7018

Phone

(716) 799-9308

NPI assigned

Dec 3, 2025

Last updated

Dec 3, 2025By the provider in NPPES

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 names 1

• Kaitlyn Ivancic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1427911858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CLARK ST UNIT 123",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086111852",
            "telephone_number": "716-799-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E CROSS ST",
            "city": "CROTON FALLS",
            "state": "NY",
            "postal_code": "105197018",
            "telephone_number": "716-799-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSEY",
        "first_name": "KAITLYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "129024-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "IVANCIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Grace Rudney-Leiva, MS, OTR/L
• Ralph Rudolph, DDS
• Veronica Ann Smith, PT
• Sandra Anne Tica, MSW, LCSWR
• David Mauricio Vidaurre, LCSW

• Clinical Social Worker in Croton Falls, NY
• Providers in Croton Falls, 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 Dec 3, 2025; 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.