Kristy Lynn Walgren, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006450 Issued in NC

Practice address

1010 Edgehill Rd N
Charlotte, NC 28207-1885

Phone

(704) 355-0784

Fax

(704) 446-1298

NPI assigned

Jan 24, 2009

Last updated

May 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Walgren Counseling, PLLCGroup PAC ID 9638348857, 6 clinicians

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.

• Walgren Counseling, PLLC

  • Clinical Social Worker
  • Matthews, NC
  • NPI 1235422742
  Medicare reassignment Care Compare group NPD Authorized official
• Carolinas Medical Center

  dba Atrium Health Levine Children's Gastroenterology

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1275774333
  Medicare reassignment NPD
• Carolinas Medical Center

  dba Carolinas Psychiatry Billingsley

  • Child & Adolescent Psychiatry Physician
  • Charlotte, NC
  • NPI 1548501141
  NPD
• Carolinas Medical Center

  dba Atrium Health Pharmacy Kenilworth

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1982710554
  NPD
• Carolinas Medical Center

  dba Atrium Health Mercy, a facility of Carolinas Medical Center

  • General Practice Physician
  • Charlotte, NC
  • NPI 1326110909
  NPD (past)
• Carolinas Medical Center

  dba Carolinas Psychiatry and Behavioral Wellness

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1720334204
  NPD (past)

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1093953341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EDGEHILL RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071885",
            "telephone_number": "704-355-0784",
            "fax_number": "704-446-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EDGEHILL RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071885",
            "telephone_number": "704-355-0784",
            "fax_number": "704-446-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALGREN",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-24",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER",
            "identifier": "12065089",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER SUPPLIER PTAN",
            "identifier": "2853488",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #06480)
• Walgreen Co (Walgreens #17250)
• Walgreen Co. (Walgreens #21374)
• Walgreens Co.
• Walgreens Pharmacy
• Walker Behavioral Healthcare, PLLC
• Walker Express Transit LLC
• Mary Walker-Howard
• Mar'Kayla Kyerra Walker-Jones, MSW, LSW
• Cheryl Lynn Walker-McGill, M.D.

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.