Anna Kismaric, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

097464 Issued in NY

Practice address

68 Jay St Ste 409
Brooklyn, NY 11201-8361

Phone

(929) 224-2284

NPI assigned

Nov 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1689339954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CLERMONT AVE APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053319",
            "telephone_number": "917-974-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 JAY ST STE 409",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112018361",
            "telephone_number": "929-224-2284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2928 W 36th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112241410",
            "country_code": "US",
            "telephone_number": "718-372-3300",
            "fax_number": "718-372-1314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISMARIC",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kisi Corp
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• Tatyana Kisina, MD
• Sarala Kislak, LMSW
• Natalia Kislitskaia
• Barbra E Kiss, LMSW
• Mayer Kiss
• Reva Elana Kiss, MS OTR/L
• Magnim Kissao, PA-C
• Michael E Kissin, PH.D.

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Jun 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.