Active NPI
Anna Keylina, LCSW
- Clinical Social Worker
- Croton on Hudson, NY
National Provider Identifier
1538796396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06041500
- Practice address
- 1392 Albany Post Rd Ste 2B
Croton on Hudson, NY 10520-1560 - Phone
- (914) 623-8562
- NPI assigned
- Mar 23, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 107028-01 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC06041500 | NJ | Primary |
Addresses
Primary practice location
1392 Albany Post Rd Ste 2B
Croton on Hudson, NY 10520-1560
Mailing address
1392 Albany Post Rd Ste 2B
Croton on Hudson, NY 10520-1560
Phone (914) 623-8562
Other practice location 1
800 Cross River Rd
Katonah, NY 10536-3549
Phone (914) 623-8562
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 |
|---|---|---|---|
| 107028-01 | NY | MD | Social Worker |
| 44SC06041500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1538796396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1392 ALBANY POST RD STE 2B",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "105201560",
"telephone_number": "914-623-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1392 ALBANY POST RD STE 2B",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "105201560",
"telephone_number": "914-623-8562"
}
],
"practiceLocations": [
{
"address_1": "800 Cross River Rd",
"address_purpose": "LOCATION",
"city": "Katonah",
"state": "NY",
"postal_code": "105363549",
"country_code": "US",
"telephone_number": "914-623-8562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEYLINA",
"first_name": "ANNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "107028-01",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06041500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Croton on Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.