Cirstin Conneely

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73 076706 Issued in NY

Practice address

34 Plaza St E
Suite 109
Brooklyn, NY 11238-5038

Phone

(718) 536-6040

NPI assigned

Nov 30, 2010

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

Other names 1

• Cirstin Connors Former name

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1508168386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 EASTERN PKWY",
            "address_2": "APT. 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385939",
            "telephone_number": "718-622-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PLAZA ST E",
            "address_2": "SUITE 109",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385038",
            "telephone_number": "718-536-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNEELY",
        "first_name": "CIRSTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 076706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CIRSTIN",
            "last_name": "CONNORS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Troy Conliffe
• Marjorie Conlon, SLP
• Connect to Growth Psychotherapy LCSW PLLC
• Connecticut Post Mall Dental, PC (Connecticut Post Dental, PC)
• Connecticut Psychotherapy
• Carmen Connell-Blair, L.P.N.
• Ciara Neve Connell
• Krystal Connell
• Donna Connelly, PSYD
• Katherine Lovgren Connelly, F.N.P.

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.