Individual provider Active NPI

Anna Kalliagas, L.C.S.W.

  • Clinical Social Worker
  • Ridgewood, NY
National Provider Identifier
1871540294
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R051511 Issued in NY
Practice address
5619 Metropolitan Ave
First Floor
Ridgewood, NY 11385-1958
Phone
(917) 846-8495
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 R051511 NY Primary

Addresses

Primary practice location

5619 Metropolitan Ave
First Floor
Ridgewood, NY 11385-1958

Mailing address

PO Box 640761
Oakland Gardens, NY 11364-0761
Phone (917) 846-8495

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
I20060623000157 NY Practitioner - Clinical Social Worker 2769415207 Practice locations: Fresh Meadows, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6143 186TH St
Fresh Meadows, NY 11365-2710
Phone (917) 846-8495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical PC Past Accepting new patients

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871540294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640761",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113640761",
            "telephone_number": "917-846-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 METROPOLITAN AVE",
            "address_2": "FIRST FLOOR",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851958",
            "telephone_number": "917-846-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIAGAS",
        "first_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R051511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.