Organization Active NPI

Christine Kaiser LCSW PLLC

  • Clinical Social Worker
  • Pittsford, NY
National Provider Identifier
1619547981
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHRISTINE KAISER LCSW PLLC
Practice address
10 Office Park Way Ste 100
Pittsford, NY 14534-1754
Phone
(585) 704-2917
NPI assigned
Jun 29, 2021
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Christine M Kaiser, LCSWNPI 1821244666
Title
Owner
Phone
(585) 704-2917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

10 Office Park Way Ste 100
Pittsford, NY 14534-1754

Mailing address

PO Box 485
North Chili, NY 14514-0485
Phone (585) 594-4574

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmkaiser@rochester.rr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210729000469 NY Part B Supplier - Clinic/Group Practice 5698178515 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsford, NY

National Provider Directory

National Provider Directory

Locations

10 Office Pkwy
Ste 100
Pittsford, NY 14534
Phone (585) 704-2917

Interoperability endpoints

  • Direct secure messaging: cmkaiser@rochester.rr.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1619547981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145140485",
            "telephone_number": "585-594-4574",
            "fax_number": "585-594-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OFFICE PARK WAY STE 100",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341754",
            "telephone_number": "585-704-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE KAISER LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-704-2917",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmkaiser@rochester.rr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Office Park Way Ste 100",
            "city": "Pittsford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145341754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.