Individual provider Active NPI

Kristin Lints, LCSW

  • Clinical Social Worker
  • Colonial Heights, VA
National Provider Identifier
1265731749
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007166 Issued in VA
Practice address
798 Southpark Blvd
Suite 8
Colonial Heights, VA 23834-3615
Phone
(804) 943-0179
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007166 VA Primary

Addresses

Primary practice location

798 Southpark Blvd
Suite 8
Colonial Heights, VA 23834-3615

Mailing address

PO Box 3620
Petersburg, VA 23805-3620
Phone (804) 943-0179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007166VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Otl Community Services Clinical PastSince May 1, 2013 Accepting new patients

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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1265731749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3620",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238053620",
            "telephone_number": "804-943-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 SOUTHPARK BLVD",
            "address_2": "SUITE 8",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343615",
            "telephone_number": "804-943-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTS",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.