Mitchell Myles Krigest

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW128671 Issued in MA

Practice address

40 Church St
Lowell, MA 01852-6113

Phone

(617) 308-1231

Fax

(978) 441-9826

NPI assigned

Apr 30, 2025

Sex

Male

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 MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1184412942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GERALD RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864714",
            "telephone_number": "617-308-1231",
            "fax_number": "617-308-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CHURCH ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018526113",
            "telephone_number": "617-308-1231",
            "fax_number": "978-441-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIGEST",
        "first_name": "MITCHELL",
        "middle_name": "MYLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW128671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Kotler
• Philip S. Kotsios, M.D.
• Tina Xanthe Kotsios
• Sokharath Koy
• Kristen Callanan Koziol, FNP-BC
• Carolyn Kroll, LICSW
• Valerie Krpata, LICSW
• Siobhan Kathryn Bowser Krueger, RDN
• Tracie Ann Krueger
• Joshua Kuan

• Clinical Social Worker in Lowell, MA
• Providers in Lowell, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.