Kristin Flammia, LCSW

Individual provider Active NPI Clinical Social Worker · Ringoes, NJ

NPI 1619486248 · NPPES record last updated Feb 28, 2021

Key facts

NPI
1619486248
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC05971000 (NJ)
Practice address
90 Becks Blvd
Ringoes, NJ 08551-1865
Phone
(908) 892-4464
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000121407MAMDClinical Social Worker
121407MAMDClinical Social Worker
44SC05971000NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 121407 MA
Clinical Social Worker 1041C0700X 000121407 MA
Clinical Social Worker 1041C0700X 44SC05971000 NJ Yes

Addresses

Primary practice location

90 Becks Blvd
Ringoes, NJ 08551-1865

Mailing address

90 Becks Blvd
Ringoes, NJ 08551-1865

Other practice location 1

77 Rumford Ave
Waltham, MA 02453
Phone (781) 894-4307

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 28, 2021.

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1619486248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BECKS BLVD",
            "city": "RINGOES",
            "state": "NJ",
            "postal_code": "085511865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BECKS BLVD",
            "city": "RINGOES",
            "state": "NJ",
            "postal_code": "085511865",
            "telephone_number": "908-892-4464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Rumford Ave",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "02453",
            "country_code": "US",
            "telephone_number": "781-894-4307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAMMIA",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121407",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000121407",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05971000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringoes, NJ

All providers in Ringoes, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.