Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristal Greenlea

Individual provider Clinical Social Worker · NPI 1790490282

Kristal Greenlea is a Clinical Social Worker in New York, New York. Qualified in 2021, 5 years ago. Registered with an NPI since 2023.

Years since qualifying
5
In the registry since
2023
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Practice location Address checks out

1767 Park Ave
New York, NY 10035-1901
Phone: (646) 951-1355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1790490282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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