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
| License | State | Type | Specialty |
|---|---|---|---|
| 000121407 | MA | MD | Clinical Social Worker |
| 121407 | MA | MD | Clinical Social Worker |
| 44SC05971000 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Doreen Consulmagno
- Kristin L. Cree
- East Amwell Township Board of Education
- Patricia Ann Erceg
- Ezema Med Services LLC
- Joseph Charles Gerber III
- Bruce Scott Lavin
- Albert T Leung
- Martin Clay Lewis
- Nathaniel Miller
All providers in Ringoes, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.