Active NPI
Kristin L Krebs, LCSW
- Clinical Social Worker
- Edwardsville, IL
National Provider Identifier
1225021033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149008998
- Practice address
- 103A South Pointe Drive
Edwardsville, IL 62025-3780 - Phone
- (618) 656-2000
- Fax
- (618) 656-1169
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149008998 | IL | Primary |
Addresses
Primary practice location
103A South Pointe Drive
Edwardsville, IL 62025-3780
Mailing address
PO Box 790
Edwardsville, IL 62025-0790
Phone (618) 692-9640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Southpointe Dr
Suite a
Edwardsville, IL 62025-3780
Phone (618) 656-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Associates Psychiatry P C | Clinical | Current | Accepting new patients |
Locations
103 Southpointe Dr
Ste A
Edwardsville, IL 62025
Phone (618) 407-9363
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1225021033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620250790",
"telephone_number": "618-692-9640",
"fax_number": "618-692-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103A SOUTH POINTE DRIVE",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620253780",
"telephone_number": "618-656-2000",
"fax_number": "618-656-1169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREBS",
"first_name": "KRISTIN",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149008998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edwardsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.