Annaliese Mae Hee Kiesnowski, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW134790 Issued in PA

Practice address

1348 Bainbridge St
Philadelphia, PA 19147-1810

Phone

(267) 360-5984

NPI assigned

May 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Mazzoni Center

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1477631307

  Social Worker

  NPD

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1982227666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SIGEL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481930",
            "telephone_number": "202-407-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471810",
            "telephone_number": "267-360-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESNOWSKI",
        "first_name": "ANNALIESE",
        "middle_name": "MAE HEE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "akiesnowski@mazzonicenter.org",
            "affiliation": "Y",
            "affiliationName": "Mazzoni Center",
            "address_1": "1348 Bainbridge St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191471810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas William Kieran, MD
• Brendan Kiernan
• Eric Kierney
• Patricia Kieser
• Jake Kieserman, MD
• Kiet VI Thai, PC
• Sarafina Kietzman-Nicklin, LMFT
• Julia Alexis Kiffel, DO
• Yuta Kikuchi, MD
• Austin Srinivas Kilaru, MD

• Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.