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KRISTEN BELEVICH
NPI 1679931133
Social Worker in Bayside, NY

Active since January 29, 2016Opted out of Medicare · through Mar 26, 2028
21111 NORTHERN BLVD, BAYSIDE, NY 11361(718) 705-1000 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2021, Jan 29, 2016 (2 updates tracked since 2016).

About Kristen Belevich NPPES

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

KRISTEN BELEVICH (NPI 1679931133) is an individual social worker in Bayside, New York, licensed in New York (092701) and active in the NPI registry since January 2016. She has opted out of Medicare through March 26, 2028.

NPPES Registry Identity

NPI1679931133
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKRISTEN BELEVICH
Location Address21111 NORTHERN BLVDBayside, NY 11361-3241
Mailing Address17 Harvard StMassapequa, NY 11758-6131
Phone(718) 705-1000
Sole ProprietorNo
Enumeration DateJanuary 29, 2016
Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
✔ NPI 1679931133 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 · 092701
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.
21111 NORTHERN BLVD, Bayside, NY 11361
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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

Kristen Belevich 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 26, 2024 through March 26, 2028.

Opt-Out Effective DateMarch 26, 2024
Opt-Out In Effect ThroughMarch 26, 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.

MIRIAM A CHEN OTR/L
Occupational Therapist
21111 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (646) 522-6133
PREMIER HEALTHCARE
Specialist
21111 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (718) 705-1000
MRS. LARA DAWN SCHER MA, CCC-SLP, TSHH
Speech-Language Pathologist
21111 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (718) 705-1010
MONNA SHAHNA LMSW
Social Worker
21111 NORTHERN BLVD, 2ND FLOOR
BAYSIDE, NY 11361
Queens County (718) 705-1000
KAREN KRISTINE OBESO BSN RN
Registered Nurse (General Practice)
21111 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (212) 273-6272
CHRISTOPHER SCHROEDER RN
Registered Nurse (Medical-Surgical)
21111 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (212) 273-6272
ANNELISE SANTOS
Social Worker
21111 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (212) 273-6272
EMILY ELIZABETH BROWN LMSW
Social Worker
21111 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (718) 705-1000

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 Kristen Belevich's NPI number?

The NPI number for Kristen Belevich is 1679931133. It was assigned to this individual provider in the NPPES registry on January 29, 2016.

Where is Kristen Belevich located?

Kristen Belevich practices at 21111 Northern Blvd, Bayside, NY 11361. The listed phone number is (718) 705-1000.

What is Kristen Belevich's specialty?

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

Is Kristen Belevich enrolled in Medicare?

No. Kristen Belevich has opted out of Medicare through March 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristen Belevich was last updated on November 23, 2021. 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.