Provider Demographics
NPI:1780021592
Name:ARISTY, KRISTY (LCSW, CASAC, MS, SAP)
Entity Type:Individual
Prefix:MS
First Name:KRISTY
Middle Name:
Last Name:ARISTY
Suffix:
Gender:F
Credentials:LCSW, CASAC, MS, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 HOE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-2550
Mailing Address - Country:US
Mailing Address - Phone:646-541-5394
Mailing Address - Fax:
Practice Address - Street 1:2036 AMSTERDAM AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-5078
Practice Address - Country:US
Practice Address - Phone:646-541-5394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23910101YA0400X
NY0818311041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)