Individual provider Active NPI

Kimberly A Hostig, LCSW

  • Social Worker
  • Schenectady, NY
National Provider Identifier
1861478786
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
067230 Issued in NY
Practice address
426 Franklin St
Schenectady, NY 12305
Phone
(518) 374-3403
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 067230 NY Primary

Addresses

Primary practice location

426 Franklin St
Schenectady, NY 12305

Mailing address

8 Stanley Cir
Latham, NY 12110-2606
Phone (518) 222-6752

Other identifiers 2

IdentifierTypeStateIssuer
040426032086OtherNYFIDELIS
N309C1OtherNYBLUE CROSS

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
I20180829000798 NY Practitioner - Clinical Social Worker 1456601285 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
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8 Stanley Cir
Suite 11
Latham, NY 12110-2606
Phone (518) 222-6752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
067230NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly a. Hostig Licensed Clinical Social Worker PLLC CurrentSince Jul 17, 2018 Accepting new patients

Locations

8 Stanley Cir
Ste 11
Latham, NY 12110
Phone (518) 222-6752

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1861478786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 STANLEY CIR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102606",
            "telephone_number": "518-222-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 FRANKLIN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12305",
            "telephone_number": "518-374-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTIG",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "067230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426032086",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N309C1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.