Gina Lyn Kmiotek, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

098693 Issued in NY

Practice address

3720 74TH St
3Rd Floor
Jackson Heights, NY 11372-6338

Phone

(718) 426-6222

NPI assigned

Nov 1, 2016

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• New York Center for Addiction Treatment Services, Inc.

  • Clinic/Center
  • Jackson Heights, NY
  • NPI 1700263175
  NPD (past)
• New York Counseling for Change, LCSW, PLLC

  • Community/Behavioral Health Agency
  • Jackson Heights, NY
  • NPI 1891084794
  NPD (past)

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1720530280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 74TH ST",
            "address_2": "3RD FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726338",
            "telephone_number": "718-426-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 74TH ST",
            "address_2": "3RD FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726338",
            "telephone_number": "718-426-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMIOTEK",
        "first_name": "GINA",
        "middle_name": "LYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A King, M.S., CCC-SLP
• Kelly Jo Kirby, L.C.S.W.
• Leonardo Javier Klein, LCSW
• Kevin James Kleinknecht, LMSW
• KLS Medical, PC
• Roxanne Leilani Ko, MD
• Sharona Kohan, OD
• Jun Phaik Quah Kong, M.S., CCC-SLP
• Dominique Koonce
• Omar Korban

• Social Worker in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.