Kristin Gonzalez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090957 Issued in NY

Practice address

47 W Market St
Rhinebeck, NY 12572-1413

Phone

(845) 516-1066

Fax

(845) 516-4454

NPI assigned

Feb 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristin.gonzalez.1@25072.direct.athenahealth.com
• Direct secure messaging: kristin.gonzalez.2@25072.direct.athenahealth.com

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.

• Access: Supports for Living Inc

  • Multi-Specialty Clinic/Center
  • Middletown, NY
  • NPI 1528174976
  Medicare reassignment NPD
• Kristin Gonzalez

  dba Kristin Gonzalez Therapy

  • Clinical Social Worker
  • Rhinebeck, NY
  • NPI 1881412393
  NPD Authorized official
• Access: Supports for Living Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1790326320
  NPD
• Rappore Medicine PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1699301614
  NPD
• Inpresent Psychiatry PC

  • Psychiatry Physician
  • Chevy Chase, MD
  • NPI 1932971876
  NPD
• Rappore Medicine NJ PC

  • Psychiatry Physician
  • Hoboken, NJ
  • NPI 1154173003
  NPD
• Lexington Center for Recovery, Inc.

  • Methadone Clinic
  • Peekskill, NY
  • NPI 1487709671
  NPD (past)
• Rappore Medicine PC

  • Psychiatry Physician
  • Stamford, CT
  • NPI 1003781915
  NPD (past)

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

{
    "created_epoch": "1487462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1619416989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PELLS RD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723404",
            "telephone_number": "845-797-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W MARKET ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721413",
            "telephone_number": "845-516-1066",
            "fax_number": "845-516-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-19",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "068013",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri A. Gill-Smith, PT
• Francine Ellen Glasser, LCSW-R
• Nancy J Gleason, RN
• Hannah Goldwater, FNP
• Gael Gonzalez-Peltier, MD
• Patricia Webb Goodemote, CCC-SLP
• Allison Gould, LCSW
• Gina L Greco, RN
• Cara Ann Green, LPN
• Laura Michelle Greene, LMSW, BCBA, LBA

• Clinical Social Worker in Rhinebeck, NY
• Providers in Rhinebeck, 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 11, 2021; 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.