Kristina E. Mielke, LCSW
Individual provider Active NPI Clinical Social Worker · Mansfield, PA
NPI 1164845848 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1164845848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 40 W Wellsboro St
Mansfield, PA 16933-1411 - Phone
- (570) 723-0623
- Fax
- (570) 662-1977
- NPI assigned
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210315002539 | PA | Practitioner - Clinical Social Worker | 5294141347 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Penn Comprehensive Health Services | Current |
Accepting new patients | |
| North Penn Comprehensive Health Services | Current |
Accepting new patients | |
| North Penn Comprehensive Health Services | Current | Accepting new patients | |
| North Penn Comprehensive Health Services | Past | Accepting new patients | |
| North Penn Comprehensive Health Services | Past | Accepting new patients | |
| North Penn Comprehensive Health Services | Past | Accepting new patients | |
| North Penn Comprehensive Health Services | Past | Accepting new patients | |
| North Penn Comprehensive Health Services | Past | Accepting new patients | |
| North Penn Comprehensive Health Services | Past | Accepting new patients | |
| North Penn Comprehensive Health Services | Past | Accepting new patients |
Locations
6 Riverside Plz
Blossburg, PA 16912
Phone (570) 638-2174
103 Forestview Ave
Elkland, PA 16920
Phone (814) 258-5117
32 E Lawrence Rd
Lawrenceville, PA 16929
Phone (570) 827-0125
416 S Main St
Mansfield, PA 16933
Phone (570) 662-1900
40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945
45 Mud Creek Rd
Troy, PA 16947
Phone (570) 297-3746
114 East Ave
Wellsboro, PA 16901
Phone (570) 723-0620
7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010
236 E Main St
Westfield, PA 16950
Phone (814) 367-5911
Interoperability endpoints
- kristina.e.mielke@upmcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
40 W Wellsboro St
Mansfield, PA 16933-1411
Mailing address
1 W Main St
Fleetwood, PA 19522-1323
Phone (610) 944-0445
Other providers in Mansfield, PA
- Martha Lloyd Icf Westgate
- Joseph F McNamara
- Jennifer A McTish
- Meadowlark Counseling Services, LLC
- Jolene Meisner
- Matthew Moran
- Emily Nichols
- North Penn Comprehensive Health Services
- North Penn Comprehensive Health Services
- North Penn Comprehensive Health Services
All providers in Mansfield, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2023. 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.