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MRS. KRISTIN BOYLE LICARDI LCSW
NPI 1104196997
Social Worker - Clinical in Brewster, NY

Active since January 10, 2012PECOS Enrolled
400 DOANSBURG RD, BREWSTER, NY 10509(845) 279-2995 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristin Boyle Licardi Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTIN BOYLE LICARDI LCSW (NPI 1104196997) is an individual clinical provider in Brewster, New York, licensed in New York (077858) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104196997
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KRISTIN BOYLE LICARDICredential: LCSW
Location Address400 DOANSBURG RDBrewster, NY 10509-5902
Mailing Address35 Beers DrMiddletown, NY 10940-4222 · (845) 279-2995
Phone(845) 279-2995
Sole ProprietorNo
Enumeration DateJanuary 10, 2012
✔ NPI 1104196997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 077858
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
400 DOANSBURG RD, Brewster, NY 10509
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristin Boyle Licardi Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY TYQUAN SMITH
Counselor
400 DOANSBURG RD
BREWSTER, NY 10509
Putnam County (845) 279-2995
KRISTIN HUFFAKER LMSW
Social Worker
400 DOANSBURG RD
BREWSTER, NY 10509
Putnam County (845) 279-2995
NICOLE SWIFT
Counselor
400 DOANSBURG RD
BREWSTER, NY 10509
Putnam County (845) 279-2995
PAIGE E CAHILL MASTER'S DEGREE
Art Therapist
400 DOANSBURG RD
BREWSTER, NY 10509
Putnam County (845) 279-2995
HAYLEY WAGNER
Counselor (Mental Health)
400 DOANSBURG RD
BREWSTER, NY 10509
Putnam County (845) 279-2995
AILIN MELLERAY WALSH-MARSHALL OTR/L
Occupational Therapist
400 DOANSBURG RD
BREWSTER, NY 10509
Putnam County (845) 279-2995
JENNIFER JAYNE PASTORINO LPN
Licensed Practical Nurse
400 DOANSBURG RD
BREWSTER, NY 10509
Putnam County (845) 279-2995
CATHERINE WERLAU LMHC
Counselor (Professional)
400 DOANSBURG RD
BREWSTER, NY 10509
Putnam County (845) 279-2995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Licardi's NPI number?

The NPI number for Kristin Licardi is 1104196997. It was assigned to this individual provider in the NPPES registry on January 10, 2012.

Where is Kristin Licardi located?

Kristin Licardi practices at 400 Doansburg Rd, Brewster, NY 10509. The listed phone number is (845) 279-2995.

What is Kristin Licardi's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristin Licardi enrolled in Medicare?

Yes. Kristin Licardi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Licardi was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.