Active NPI
Kerri Lynn Nasta, LCSW
- Social Worker
- Islip Terrace, NY
National Provider Identifier
1578994273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 096799
- Practice address
- 37 Woodcliff Rd
Islip Terrace, NY 11752-1913 - Phone
- (631) 332-7160
- NPI assigned
- Dec 5, 2013
- Last updated
- Apr 19, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 089056 | NY | |
| Social Worker | 104100000X | 096799 | NY | Primary |
Addresses
Primary practice location
37 Woodcliff Rd
Islip Terrace, NY 11752-1913
Mailing address
37 Woodcliff Rd
Islip Terrace, NY 11752-1913
Phone (631) 332-7160
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 |
|---|---|---|---|
| 089056 | NY | MD | Clinical Social Worker |
| 096799 | NY | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1578994273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 WOODCLIFF RD",
"city": "ISLIP TERRACE",
"state": "NY",
"postal_code": "117521913",
"telephone_number": "631-332-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 WOODCLIFF RD",
"city": "ISLIP TERRACE",
"state": "NY",
"postal_code": "117521913",
"telephone_number": "631-332-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASTA",
"first_name": "KERRI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "089056",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "096799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Islip Terrace, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.