Kirsten Kelly Havig, LCSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2024043569 Issued in MO

Practice address

907 Plymouth Dr
Columbia, MO 65203-0725

Phone

(307) 761-9707

NPI assigned

Jan 11, 2025

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

Enrolled in ME

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, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Root and Rise Psychotherapy, LLCGroup PAC ID 8820407729, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Root & Rise Psychotherapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bangor, ME
  • NPI 1033705850
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1174333124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 PLYMOUTH DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030725",
            "telephone_number": "307-761-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 PLYMOUTH DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030725",
            "telephone_number": "307-761-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVIG",
        "first_name": "KIRSTEN",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024043569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert R Hausam, MD
• Matthew Havelka
• Sophie Haven
• Nicholas Havens, M.D.
• John Havey, M.D.
• Wayne R Hawks, D.M.D.
• Laura Antonia Hayden, PA
• Cynthia S Hayes, M.D.
• Emmit Wagar Hayes, MD
• Kristen D Hayes, MSW, LCSW

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.