Individual provider Active NPI

Kristen Garrigan Snyder-Branner, LCSW-R

  • Clinical Social Worker
  • Herkimer, NY
National Provider Identifier
1831382100
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0758031 Issued in NY
Practice address
301 N Washington St
Suite 2470
Herkimer, NY 13350-1216
Phone
(315) 867-1465
NPI assigned
Aug 21, 2007
Last updated
Sep 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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 0758031 NY Primary

Addresses

Primary practice location

301 N Washington St
Suite 2470
Herkimer, NY 13350-1216

Mailing address

301 N Washington St
Suite 2470
Herkimer, NY 13350-1216
Phone (315) 867-1465

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
I20071116000438 NY Practitioner - Clinical Social Worker 5496843997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Herkimer CountyGroup PAC ID 4284613779, 11 clinicians

Practice addresses (Care Compare)

301 N Washington St
Suite 2470
Herkimer, NY 13350-1299
Phone (315) 867-1465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0758031NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Herkimer County CurrentSince Jul 30, 2007 Accepting new patients
Herkimer County CurrentSince Jul 30, 2007 Accepting new patients

Locations

301 N Washington St
Ste 2470
Herkimer, NY 13350
Phone (315) 867-1465

Organizations & group practices 2

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1831382100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST",
            "address_2": "SUITE 2470",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501216",
            "telephone_number": "315-867-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST",
            "address_2": "SUITE 2470",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501216",
            "telephone_number": "315-867-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER-BRANNER",
        "first_name": "KRISTEN",
        "middle_name": "GARRIGAN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0758031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

Verify at the official NPI Registry.