Individual provider Active NPI

Kristen Whiston, LMSW

  • Social Worker
  • Clarkston, MI
National Provider Identifier
1003394990
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801096780 Issued in MI
Practice address
5639 Sashabaw Rd
Clarkston, MI 48346-3149
Phone
(248) 922-9077
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801096780 MI Primary

Addresses

Primary practice location

5639 Sashabaw Rd
Clarkston, MI 48346-3149

Mailing address

46176 Custer Ave
Utica, MI 48317-5802
Phone (248) 520-7126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkston Family Therapists LLC CurrentSince Nov 25, 2024 Accepting new patients

Locations

5639 Sashabaw Rd
Clarkston, MI 48346
Phone (248) 625-6677

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1003394990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46176 CUSTER AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175802",
            "telephone_number": "248-520-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5639 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463149",
            "telephone_number": "248-922-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISTON",
        "first_name": "KRISTEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.