Individual provider Active NPI

Francine Maria Reistetter, LCSW-R

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1790263929
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R043942 Issued in NY
Practice address
790 Lancaster St
Albany, NY 12203-1541
Phone
(518) 489-4431
Fax
(518) 489-5189
NPI assigned
Jul 31, 2018
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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 R043942 NY Primary

Addresses

Primary practice location

790 Lancaster St
Albany, NY 12203-1541

Mailing address

19 Brookwood Ave
Albany, NY 12203-3323
Phone (518) 366-6059

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
I20181015000837 NY Practitioner - Clinical Social Worker 5799037024 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R043942NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roman Catholic Diocese of Albany Ny CurrentSince Sep 1, 2018 Accepting new patients

Locations

790 Lancaster St
Albany, NY 12203
Phone (518) 489-4431

Organizations & group practices 1

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1790263929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BROOKWOOD AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033323",
            "telephone_number": "518-366-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 LANCASTER ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031541",
            "telephone_number": "518-489-4431",
            "fax_number": "518-489-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISTETTER",
        "first_name": "FRANCINE",
        "middle_name": "MARIA",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.