Kristin Ann Di Vico, LMSW, MSPT is a
Social Worker based in Harrison, New York. Kristin Ann Di Vico is licensed to practice in New York (license number 126167-01) and her current practice location is
275 North St, Harrison, New York. She can be reached at her office (for appointments etc.) via phone at
(914) 967-6500.
NPI number for Kristin Ann Di Vico is 1700076866 and her current mailing address is 3400 N Shelley St, Mohegan Lake, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700076866.
Healthcare Provider's Profile
| Full Name | Kristin Ann Di Vico |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 275 North St, Harrison, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700076866
- Provider Enumeration Date: 07/25/2007
- Last Update Date: 02/27/2025
Medical Identifiers
Medical identifiers for Kristin Ann Di Vico such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700076866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | PT-014318-1 (New York) | Secondary |
| 104100000X | Social Worker | 126167-01 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Ann Di Vico is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristin Ann Di Vico, LMSW, MSPT
3400 N Shelley St,
Mohegan Lake, NY 10547-1441
Ph: (914) 588-6186 | Kristin Ann Di Vico, LMSW, MSPT
275 North St,
Harrison, NY 10528-1140
Ph: (914) 967-6500 |
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