Individual provider Active NPI

Kristina G Schweikert, LCSW

  • Clinical Social Worker
  • Ashland, OR
National Provider Identifier
1154605228
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6451 Issued in OR
Practice address
1983 Tamarack PL
Ashland, OR 97520-3542
Phone
(541) 821-2596
Fax
(541) 488-7897
NPI assigned
Oct 6, 2011
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X L6541 OR
Clinical Social Worker 1041C0700X L6451 OR Primary

Addresses

Primary practice location

1983 Tamarack PL
Ashland, OR 97520-3542

Mailing address

PO Box 1426
Talent, OR 97540-1426
Phone (541) 821-2596

Other practice location 1

1611 E Barnett Rd
Medford, OR 97504-8284
Phone (541) 821-2596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20160218000561 OR Practitioner - Clinical Social Worker 4789989435 Reassigns benefits to 1 organization
Practice locations: Ashland, OR; Medford, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

843 E Main St
Suite 103
Medford, OR 97504-7137
Phone (541) 821-2596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Larkspur Counseling LLC CurrentSince Sep 1, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1154605228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975401426",
            "telephone_number": "541-821-2596",
            "fax_number": "541-488-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 TAMARACK PL",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203542",
            "telephone_number": "541-821-2596",
            "fax_number": "541-488-7897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 E Barnett Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048284",
            "country_code": "US",
            "telephone_number": "541-821-2596",
            "fax_number": "541-488-7897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWEIKERT",
        "first_name": "KRISTINA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "L6541",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.