Kristien Ann Sal Dana, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-32439 Issued in ID

Practice address

1118 F St
Lewiston, ID 83501-1930

Phone

(208) 553-9060

NPI assigned

Nov 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Riverside Recovery LLC

  • Addiction (Substance Use Disorder) Counselor
  • Lewiston, ID
  • NPI 1366827255

  Social Worker

  Medicare reassignment NPD
• Overcomer Christian Counseling

  • Mental Health Counselor
  • Lewiston, ID
  • NPI 1659030716
  NPD (past)

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1063713501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 F ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011930",
            "telephone_number": "208-553-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 F ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011930",
            "telephone_number": "208-553-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAL DANA",
        "first_name": "KRISTIEN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-28541",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-32439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S.P.O.R.T. Physical Therapy Clinic
• S.P.O.R.T. Physical Therapy Clinic
• S.P.O.R.T. Physical Therapy Clinic
• Kelsey Sadowski
• Jaymes Joseph William Sajczuk, DPT
• Elizabeth Samson
• Mallory Lee Satter
• Liliana C Saunero-Nava, M.D.
• Casey Lee Sayre, PHARMD
• Christine C Schaller, MD

• Clinical Social Worker in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.