Christie Ann Ristori, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091274-01 Issued in NY

Practice address

456 Waverly Ave
Patchogue, NY 11772-1586

Phone

(631) 447-6460

NPI assigned

Sep 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Federation of Organizations for the Ny State Mentally Disabled Inc

  • Community/Behavioral Health Agency
  • West Babylon, NY
  • NPI 1346433307
  Medicare reassignment NPD
• Risewell Community Services

  • Counselor
  • Copiague, NY
  • NPI 1396102091
  NPD
• Risewell Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medford, NY
  • NPI 1609383389
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1942678917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046207",
            "telephone_number": "631-447-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 WAVERLY AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721586",
            "telephone_number": "631-447-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTORI",
        "first_name": "CHRISTIE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091274-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Natalia Richardson-Mander, RN
• Kimberly M Riley, LMSW
• Risewell Community Services
• Risewell Community Services
• Susan Risoli, M.S., L.AC.
• Caitlin Marie Rivera, RN
• Carlos J. Rivera, M.D.
• Victoria Rivera
• Robert B. Devinney, PH.D. Psychologist PC
• Jenna L Robertson

• Clinical Social Worker in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.