Active NPI
Kristen Kwiek, LMSW
- Social Worker
- Syracuse, NY
National Provider Identifier
1912620840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 117715
- Practice address
- 100 Intrepid LN Ste 2
Syracuse, NY 13205-2546 - Phone
- (315) 797-6241
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 117715 | NY | Primary |
Addresses
Primary practice location
100 Intrepid LN Ste 2
Syracuse, NY 13205-2546
Mailing address
3597 Oran Delphi Rd
Manlius, NY 13104-8613
Phone (315) 382-1025
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kristen.Kwiek@kelbermancenter.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117715 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1912620840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3597 ORAN DELPHI RD",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131048613",
"telephone_number": "315-382-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INTREPID LN STE 2",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132052546",
"telephone_number": "315-797-6241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWIEK",
"first_name": "KRISTEN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "117715",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kristen.Kwiek@kelbermancenter.org",
"affiliation": "N",
"address_1": "100 Intrepid Ln Ste 2",
"city": "Syracuse",
"state": "NY",
"country_code": "US",
"postal_code": "132052546",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.