Individual provider Active NPI

Kristin Allen

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1083024764
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16984 Issued in MD
Practice address
904 Washington Rd Ste D
Westminster, MD 21157-5838
Phone
(443) 789-6277
Fax
(443) 625-6099
NPI assigned
May 2, 2014
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16984 MD Primary

Addresses

Primary practice location

904 Washington Rd Ste D
Westminster, MD 21157-5838

Mailing address

904 Washington Rd Ste D
Westminster, MD 21157-5838
Phone (443) 789-6277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20160310000370 MD Practitioner - Clinical Social Worker 3072819416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Living Counseling LLCGroup PAC ID 9830428408, 2 clinicians

Practice addresses (Care Compare)

904 Washington Rd
Suite D
Westminster, MD 21157-5838
Phone (443) 536-3239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16984MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Living Counseling, LLC Clinical CurrentSince Aug 21, 2019 Accepting new patients

Locations

1643 Liberty Rd
Ste 105
Sykesville, MD 21784
Phone (443) 920-5333

904 Washington Rd
Ste D
Westminster, MD 21157
Phone (410) 876-8780

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1083024764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON RD STE D",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575838",
            "telephone_number": "443-789-6277",
            "fax_number": "443-625-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON RD STE D",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575838",
            "telephone_number": "443-789-6277",
            "fax_number": "443-625-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.