Active NPI
Stephanie Kresser, LMSW
- Social Worker
- Kingston, NY
National Provider Identifier
1962941500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 093462
- Practice address
- 1 Family Practice Dr
Kingston, NY 12401-6449 - Phone
- (845) 338-2568
- NPI assigned
- Feb 15, 2017
- 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 | 093462 | NY | Primary |
Addresses
Primary practice location
1 Family Practice Dr
Kingston, NY 12401-6449
Mailing address
PO Box 393
Port Ewen, NY 12466-0393
Phone (845) 853-9203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231208002387 | NY | Practitioner - Clinical Social Worker | 7719336205 |
Reassigns benefits to 1 organization Practice locations: Kingston, NY |
| I20241024002008 | FL | Practitioner - Clinical Social Worker | 7719336205 | Practice locations: Ocala, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093462 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Living Behavioral Health LCSW PLLC | Current | Accepting new patients |
Locations
1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616
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": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1962941500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "PORT EWEN",
"state": "NY",
"postal_code": "124660393",
"telephone_number": "845-853-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FAMILY PRACTICE DR",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124016449",
"telephone_number": "845-338-2568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESSER",
"first_name": "STEPHANIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "093462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.