NICOLE TRISTER
NPI 1457002719
Social Worker in Brooklyn, NY

Q: What is Nicole Trister's NPI number?

The NPI number for Nicole Trister is 1457002719. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Q: What is Nicole Trister's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Nicole Trister enrolled in Medicare?

No. Nicole Trister has opted out of Medicare through March 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nicole Trister was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 18, 2022Opted out of Medicare · through Mar 28, 2028

148 PARK PL, BROOKLYN, NY 11217(718) 398-1962 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole Trister NPPES

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

NICOLE TRISTER (NPI 1457002719) is an individual social worker in Brooklyn, New York, licensed in New York (112968) and active in the NPI registry since January 2022. She has opted out of Medicare through March 28, 2028.

NPPES Registry Identity

NPI1457002719

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameNICOLE TRISTER

Location Address148 PARK PLBrooklyn, NY 11217-3303

Mailing Address7 Stuyvesant Oval Apt 1hNew York, NY 10009-1902 · (914) 563-7001

Phone(718) 398-1962

Sole ProprietorNo

Enumeration DateJanuary 18, 2022

NPPES CertifiedJanuary 18, 2022

✔ NPI 1457002719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 112968

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

148 PARK PL, Brooklyn, NY 11217

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicole Trister has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 28, 2026 through March 28, 2028.

Opt-Out Effective DateMarch 28, 2026

Opt-Out In Effect ThroughMarch 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

RORY GUNDERSON

Social Worker (Clinical)