Kristin Hellauer, MSW
Individual provider Active NPI Clinical Social Worker · Rehoboth Beach, DE
NPI 1104034602 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1104034602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- Q1-0012080 (DE)
- Practice address
- 19409 Plantation Rd Ste 4
Rehoboth Beach, DE 19971-4413 - Phone
- (703) 859-1126
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1-0012080 | DE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Counseling Associates Inc | Clinical | Current |
Accepting new patients |
| Center for Vein Restoration de LLC | Past |
Accepting new patients |
Locations
20098 Ashbrook Pl
Ste 255
Ashburn, VA 20147
20925 Professional Plz
Ste 230
Ashburn, VA 20147
Phone (703) 621-7121
19420 Golf Vista Plz
Ste 250
Leesburg, VA 20176
Phone (571) 349-0273
Interoperability endpoints
- granatogroup.kristinhellauer@144557.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904008050 | VA | |
| Clinical Social Worker | 1041C0700X | Q1-0012080 | DE | Yes |
Addresses
Primary practice location
19409 Plantation Rd Ste 4
Rehoboth Beach, DE 19971-4413
Mailing address
19409 Plantation Rd Ste 4
Rehoboth Beach, DE 19971-4413
Phone (703) 859-1126
Other providers in Rehoboth Beach, DE
- Jeffrey E Hawtof
- Amber Haynes
- Healthy Minds of Delaware LLC
- Kathryn Hearn
- Sarah Heisey
- Cory Alan Scot Heller
- Macy Helminiak
- Kristen J. Henry
- Edwin M Hertzler
- Hannah Melissa Hierlmaier
All providers in Rehoboth Beach, DE · Clinical Social Worker in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.