Kristina J Marks, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

RD46379 Issued in NY

Practice address

53 Pine St
Deposit, NY 13754-1301

Phone

(607) 467-4195

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

No

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.

• United Medical Associates PC

  • Clinic/Center
  • Binghamton, NY
  • NPI 1013972801
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

• Kristina J Cornwell Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2010.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1891886958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902558",
            "telephone_number": "607-770-0025",
            "fax_number": "607-729-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PINE ST",
            "city": "DEPOSIT",
            "state": "NY",
            "postal_code": "137541301",
            "telephone_number": "607-467-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "KRISTINA",
        "middle_name": "J",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RD46379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02174770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "CORNWELL",
            "middle_name": "J",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany J Gates-Maby, PA
• John Giannone, MD
• Jeffrey A. Hempstead, R.PH.
• Gerald Anderson Knapp, D.D.S.
• Lisa Ann Koch, FNP
• Maria Rae Oconnor, RN
• Joann F Papaleo, PTA
• Brian L Riter, OTR/L
• Sarah Runyon, FNP
• Kaeli Hannah Rutledge, RN

• All providers in Deposit, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.