NPIMap

Individual provider Active NPI

Angela Kristoff, LCSW

  • Clinical Social Worker
  • Rangeley, ME
National Provider Identifier
1124570833
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
42 Dallas Hill Rd
Rangeley, ME 04970-0569
Phone
(207) 864-3303
Fax
(207) 864-2969
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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 Primary

Addresses

Primary practice location

42 Dallas Hill Rd
Rangeley, ME 04970-0569

Mailing address

42 Dallas Hill Rd
PO Box 569
Rangeley, ME 04970-0569
Phone (207) 864-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170120000081 ME Practitioner - Clinical Social Worker 3375825706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthreach Community Health CentersGroup PAC ID 5496726523, 87 clinicians

Practice addresses (Care Compare)

25 Depot St
Kingfield, ME 04947-4208
Phone (207) 265-4555

PO Box
Suite 569
Rangeley, ME 04970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthreach Community Health Centers CurrentSince Nov 30, 2016 Accepting new patients
Healthreach Community Health Centers CurrentSince Nov 30, 2016 Accepting new patients
Healthreach Community Health Centers CurrentSince Nov 30, 2016 Accepting new patients
Healthreach Community Health Centers CurrentSince Oct 8, 2024 Accepting new patients

Locations

4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924

25 Depot St
Kingfield, ME 04947
Phone (207) 237-2658

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1124570833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 DALLAS HILL RD",
            "address_2": "PO BOX 569",
            "city": "RANGELEY",
            "state": "ME",
            "postal_code": "049700569",
            "telephone_number": "207-864-3303",
            "fax_number": "207-864-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 DALLAS HILL RD",
            "city": "RANGELEY",
            "state": "ME",
            "postal_code": "049700569",
            "telephone_number": "207-864-3303",
            "fax_number": "207-864-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTOFF",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rangeley, ME

Sources for this page

Verify at the official NPI Registry.