Individual provider Active NPI

Kristen Strelis, LCSW

  • Social Worker
  • Cambridge, MA
National Provider Identifier
1073281713
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
000227229 Issued in MA
Practice address
54 Washburn Ave
Cambridge, MA 02140-1128
Phone
(617) 661-5700
NPI assigned
Aug 30, 2021
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Social Worker 104100000X 000227229 MA Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

54 Washburn Ave
Cambridge, MA 02140-1128

Mailing address

24 Exeter St
Arlington, MA 02474-3415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000227229MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Charles Mental Health Research & Training Foundation, Inc Addiction (Substance Use Disorder) CurrentSince Sep 5, 2021 Accepting new patients
Cambridge Psychiatric Services, Inc CurrentSince Oct 31, 2021 Accepting new patients

Locations

54 Washburn Ave
Cambridge, MA 02140
Phone (617) 491-1269

Organizations & group practices 2

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1073281713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 EXETER ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WASHBURN AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401128",
            "telephone_number": "617-661-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRELIS",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "000227229",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.