Kristina Wolfard, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

A4252 Issued in OR

Practice address

565 Union St NE Ste 105
Salem, OR 97301-2416

Phone

(503) 585-0351

NPI assigned

Feb 8, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Options Counseling Services of Oregon

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548275217
  NPD (past)
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD (past)

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144688987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 UNION ST NE STE 105",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 UNION ST NE STE 105",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012416",
            "telephone_number": "503-585-0351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 Portland Rd NE",
            "address_2": "Suite #120",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973010198",
            "country_code": "US",
            "telephone_number": "503-390-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFARD",
        "first_name": "KRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A4252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Paul Woerner
• Bethany Wohletz, M.D.
• Mesfin Woldegiorgis
• Robert Wolf, M.D.
• Sarah E Wolf, NP
• Nile Rachel Wolfe
• Shelbie Elise Wolfe, BA, QMHA
• Tyler Wolfe
• Joshua Robert Wolfram, D.C.
• Megan K Wolfram, P.A.

• Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.