Individual provider Active NPI

Kristen Acquilano, LCSW

  • Clinical Social Worker
  • Orchard Park, NY
National Provider Identifier
1780819276
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079145 Issued in NY
Practice address
227 Thorn Avenue
Orchard Park, NY 14127
Phone
(716) 882-4357
Fax
(716) 662-1636
NPI assigned
May 27, 2009
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079145 NY Primary

Addresses

Primary practice location

227 Thorn Avenue
Orchard Park, NY 14127

Mailing address

14014 Route 31
Albion, NY 14411-9301
Phone (585) 589-7066

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
I20140128001053 NY Practitioner - Clinical Social Worker 2365671138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14014 Route 31 W
Albion, NY 14411-9301

14014 State Route 31
Albion, NY 14411-9301
Phone (585) 589-3292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079145NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans County Department of Mental Health CurrentSince Dec 1, 2013 Accepting new patients
Erie County South East Corp V CurrentSince Jun 12, 2021 Accepting new patients
Orleans County Treasurer Office CurrentSince Dec 1, 2013 Accepting new patients

Locations

14014 State Route 31
Albion, NY 14411
Phone (585) 589-3292

2040 Seneca St
Buffalo, NY 14210
Phone (716) 828-0560

227 Thorn Ave
Orchard Park, NY 14127
Phone (716) 539-6737

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1780819276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 ROUTE 31",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144119301",
            "telephone_number": "585-589-7066",
            "fax_number": "585-589-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 THORN AVENUE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-882-4357",
            "fax_number": "716-662-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACQUILANO",
        "first_name": "KRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.