Active NPI
Kristina Siciliano, LMSW
- Social Worker
- Hempstead, NY
National Provider Identifier
1821722828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111187-01
- Practice address
- 175 Fulton Ave Ste 404
Hempstead, NY 11550-3702 - Phone
- (516) 736-1142
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 111187-01 | NY | Primary |
Addresses
Primary practice location
175 Fulton Ave Ste 404
Hempstead, NY 11550-3702
Mailing address
16 Alyssa CT
Holbrook, NY 11741-2947
Phone (631) 741-2868
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksiciliano@hfyny.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111187-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1821722828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ALYSSA CT",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117412947",
"telephone_number": "631-741-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 FULTON AVE STE 404",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503702",
"telephone_number": "516-736-1142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICILIANO",
"first_name": "KRISTINA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "111187-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ksiciliano@hfyny.org",
"affiliation": "N",
"address_1": "175 Fulton Ave Ste 404",
"city": "Hempstead",
"state": "NY",
"country_code": "US",
"postal_code": "115503702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.