Erica Kyne, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11930 Issued in CT

Practice address

263 Main St
Old Saybrook, CT 06475-2326

Phone

(860) 395-6380

Fax

(203) 397-9077

NPI assigned

Nov 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73317
• Direct secure messaging: erica.kyne.p1@direct.wheelerclinic.nextgenshare.com

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.

• Calm Waters Counseling LLC

  • Clinical Social Worker
  • New Haven, CT
  • NPI 1114612942
  NPD Authorized official
• Legal Social Work Consultants LLC

  • Clinical Social Worker
  • Branford, CT
  • NPI 1699281691
  NPD
• Eastern Connecticut Foot Specialists PC

  • Foot & Ankle Surgery Podiatrist
  • Norwich, CT
  • NPI 1689873887
  NPD (past)
• Waterstone Health LLC

  • Family Medicine Physician
  • Madison, CT
  • NPI 1700600053

  Clinical

  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1861905226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NEWTON RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064055214",
            "telephone_number": "203-530-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752326",
            "telephone_number": "860-395-6380",
            "fax_number": "203-397-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYNE",
        "first_name": "ERICA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Katarina Konstantino, PT
• Jacob Krasznai, DPT
• Andrew J Kressley, DMD
• Kristen Cooke, LCSW, LLC
• Oleh Kusen, APRN
• Eric John Labonte, MS, PT
• Pit Keung Peter Lai, DDS
• Neema Lama, RDH
• Callie Lamay, D.P.M.
• Laura Lamiroy, NP

• Clinical Social Worker in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.