Kristen Resnick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

61 Industrial Park Rd Ste 5
Plymouth, MA 02360-7246

Phone

(857) 939-5014

NPI assigned

Jul 11, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1891217931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 INDUSTRIAL PARK RD STE 5",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607246",
            "telephone_number": "857-939-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 INDUSTRIAL PARK RD STE 5",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607246",
            "telephone_number": "857-939-5014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3815 Washington St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021303745",
            "country_code": "US",
            "telephone_number": "857-939-5809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Gonsalves Reis-Costa
• Jason Remick
• Robert Jame Remillard Jr., LICSW
• Glory Kirubai Remley, PHARMACIST
• Resident Safety, LLC
• Resnik Medical Associates PC
• Samantha K Reusch, DPT
• Jamie A Rezendes, M.ED.
• Kristen Joan Rheaume, NP
• Alexandre Silva Ribeiro, B.S.

• Clinical Social Worker in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.