Joanna Vanya Kristeva, PHD, LCSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084403 Issued in NY

Practice address

225 Broadway Ste 1605
New York, NY 10007-3756

Phone

(212) 693-4010

Fax

(212) 693-4014

NPI assigned

Aug 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1790033439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 1605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073756",
            "telephone_number": "814-503-0986",
            "fax_number": "917-725-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 1605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073756",
            "telephone_number": "212-693-4010",
            "fax_number": "212-693-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10819 Rockaway Blvd",
            "address_purpose": "LOCATION",
            "city": "South Ozone Park",
            "state": "NY",
            "postal_code": "114201034",
            "country_code": "US",
            "telephone_number": "718-845-2620",
            "fax_number": "718-327-0668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISTEVA",
        "first_name": "JOANNA",
        "middle_name": "VANYA",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087136",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102717",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristal Pilavas Nutrition Counseling PLLC
• Victoria Kristal-Kotlyar, M.S.
• Joseph Kristan, M.D.
• Elizabeth Kristel, FNP
• Kristen Roman Psychology
• Kristin M Davin, Psy.D, PC
• Kristina T Tran DDS PC
• George Kristinsson, MD
• Mary E. Kristjen, PH.D.
• David Michael Kritchman, DDS

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Apr 1, 2021; 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.