Kristen Igo, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

117616 Issued in NY

Practice address

635 James St Ste 1
Syracuse, NY 13203-2661

Phone

(315) 671-3094

NPI assigned

Aug 15, 2023

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

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1801679832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 JAMES ST STE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032661",
            "telephone_number": "315-671-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 JAMES ST STE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032661",
            "telephone_number": "315-671-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGO",
        "first_name": "KRISTEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bukriya Othman Ibrahim, FNP
• Murfat Ibrahim, MD
• Tarek Ibrahim, M.D.
• Norine Iemma, RN
• Rahila Iftikhar, MD
• Alexander Igoe, CRNA
• Awais Ijaz
• Renee Thomas Ike, RPH
• Dawn-Noella Ikechi-Konkwo, MD
• Emily Ann Iles, PT, DPT

• Social Worker in Syracuse, NY
• Providers in Syracuse, 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 Aug 15, 2023; 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.