Individual provider Active NPI

Janice Krasilovsky

  • Clinical Social Worker
  • Mount Kisco, NY
National Provider Identifier
1598810459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073919-1 Issued in NY
Practice address
344 E Main St
Suite 303
Mount Kisco, NY 10549-3027
Phone
(914) 666-8075
Fax
(914) 666-0289
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 073919-1 NY Primary

Addresses

Primary practice location

344 E Main St
Suite 303
Mount Kisco, NY 10549-3027

Mailing address

16 Borger PL
Pearl River, NY 10965-1506
Phone (845) 735-9098

Other identifiers 1

IdentifierTypeStateIssuer
13-17773419OtherNYFEDERAL TAX ID

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

LicenseStateTypeSpecialty
073919-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598810459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BORGER PL",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651506",
            "telephone_number": "845-735-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST",
            "address_2": "SUITE 303",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493027",
            "telephone_number": "914-666-8075",
            "fax_number": "914-666-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASILOVSKY",
        "first_name": "JANICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073919-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "13-17773419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.