Krystine Elizabeth Borgstrom, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO16818 Issued in NC

Practice address

289 Olmsted Blvd Ste 1
Pinehurst, NC 28374-8730

Phone

(910) 295-6007

NPI assigned

Nov 5, 2021

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 names 1

• Krystine Elizabeth Craven Former name

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, 2021

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Meaningful Minds Counseling, PLLC

  • Clinical Social Worker
  • Sanford, NC
  • NPI 1013516251
  Medicare reassignment NPD

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1154086007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 OLMSTED BLVD STE 1",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 OLMSTED BLVD STE 1",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748730",
            "telephone_number": "910-295-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGSTROM",
        "first_name": "KRYSTINE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO16818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTINE",
            "last_name": "CRAVEN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claudia Bohler Kaminsky
• Zachary Bohlmann
• Tiffany Earle Bonnecaze, M.D.
• Shannon Bonnett, MS, CCC-SLP
• Giovanni Boone
• Alita Borkar, MA, OTR/L
• Alexia Bostic, LPN
• Karen Boston
• Caroline Rose Somerville Bostrom
• Rebecca Bouchelle

• Clinical Social Worker in Pinehurst, NC
• Providers in Pinehurst, 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 Nov 5, 2021; 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.