Individual provider Active NPI

Kristina Doi, LCSW

  • Clinical Social Worker
  • Binghamton, NY
National Provider Identifier
1629449442
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092187 Issued in NY
Practice address
305 Main St
Binghamton, NY 13905-2524
Phone
(607) 729-1295
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 086916-1 NY
Clinical Social Worker 1041C0700X 092198-01 NY
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 092187 NY Primary

Addresses

Primary practice location

305 Main St
Binghamton, NY 13905-2524

Mailing address

305 Main St
Binghamton, NY 13905-2524
Phone (607) 729-1295

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristina.m.doi@opwdd.ny.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241018002212 NY Practitioner - Clinical Social Worker 8224560982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
State of New York Comptrollers OfficeGroup PAC ID 0840101770, 171 clinicians

Practice addresses (Care Compare)

119 Kemper LN
Norwich, NY 13815-3579
Phone (607) 334-3577

249 Glenwood Rd
Binghamton, NY 13905-1603
Phone (607) 770-0211

305 Main St
Binghamton, NY 13905-2524
Phone (607) 729-1295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086916-1NYMDSocial Worker
092198-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Social Worker CurrentSince Oct 1, 2024 Accepting new patients
State of New York Comptrollers Office CurrentSince Oct 1, 2024 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1629449442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052524",
            "telephone_number": "607-729-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052524",
            "telephone_number": "607-729-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOI",
        "first_name": "KRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086916-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092198-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristina.m.doi@opwdd.ny.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "305 Main St",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139052524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.