Heather Kristine Kriken, LCSW

Individual provider Active NPI Clinical Social Worker · Kelseyville, CA

NPI 1245912237 · NPPES record last updated Mar 12, 2026

Key facts

NPI
1245912237
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
137194 (CA)
Practice address
3970 Main St Ste 9
Kelseyville, CA 95451-7426
Phone
(707) 234-5095
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
137194CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Office of Education Past
since Aug 6, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 137194 CA Yes

Addresses

Primary practice location

3970 Main St Ste 9
Kelseyville, CA 95451-7426

Mailing address

1225 Airport Park Blvd # 1071
Ukiah, CA 95482-7400
Phone (707) 234-5095

Other providers in Kelseyville, CA

All providers in Kelseyville, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.