Cristina Travieso, LCSW

Key facts

NPI

1699080440

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

089345-01 (NY)

Practice address

25 Jefferson St
West Harrison, NY 10604-2005

Phone

(914) 629-0396

NPI assigned

Aug 17, 2010

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 26, 2023.

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1699080440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JEFFERSON ST",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106042005",
            "telephone_number": "914-629-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JEFFERSON ST",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106042005",
            "telephone_number": "914-629-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIESO",
        "first_name": "CRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089345-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in West Harrison, NY · Clinical Social Worker in New York