Individual provider Active NPI

Christina A. Repp, L.C.S.W.

  • Clinical Social Worker
  • Pleasantville, NY
National Provider Identifier
1447411400
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074034 Issued in NY
Practice address
351 Manville Rd.
Suite 109
Pleasantville, NY 10570
Phone
(914) 919-9302
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074034 NY Primary

Addresses

Primary practice location

351 Manville Rd.
Suite 109
Pleasantville, NY 10570

Mailing address

351 Manville Rd.
Suite 109
Pleasantville, NY 10570
Phone (914) 919-9302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111001381 NY Practitioner - Clinical Social Worker 9335673508 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Center for the Family CurrentSince Apr 21, 2025 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Aug 24, 2024 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Aug 24, 2024 Accepting new patients

Locations

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 534-9666

359 Ballston Ave
Saratoga Springs, NY 12866
Phone (518) 583-9262

1 Tartan Way
Scotia, NY 12302
Phone (518) 382-1231

10 Prestige Pkwy
Scotia, NY 12302
Phone (518) 382-1263

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1447411400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MANVILLE RD.",
            "address_2": "SUITE 109",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "10570",
            "telephone_number": "914-919-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MANVILLE RD.",
            "address_2": "SUITE 109",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "10570",
            "telephone_number": "914-919-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPP",
        "first_name": "CHRISTINA",
        "middle_name": "A.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

Verify at the official NPI Registry.