Krystin M St Onge, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119224 Issued in MA

Practice address

2 Oak Street
Suite 201
Mashpee, MA 02649

Phone

(774) 521-7250

Fax

(508) 539-0090

NPI assigned

Jan 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Terrill Therapy Inc

  • Clinical Social Worker
  • Mashpee, MA
  • NPI 1972221844
  NPD (past)

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1275921827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WHISPERING PINES DR",
            "city": "TEATICKET",
            "state": "MA",
            "postal_code": "02536",
            "telephone_number": "774-521-7250",
            "fax_number": "508-539-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAK STREET",
            "address_2": "SUITE 201",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "774-521-7250",
            "fax_number": "508-539-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST ONGE",
        "first_name": "KRYSTIN",
        "middle_name": "M",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "219092",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Souza, RN
• Elizabeth Marie Oshea Speed, MD
• Karen Joy Spencer Dees, PHD
• Courteney Lee Sprague
• Gregg Squeglia, PT
• Oshetisi Jamillah Stanney, CNP, PMHNP-BC
• Richard M Starzyk, R.PH.
• Jennifer Steele, PHARM.D.
• Kristin Stepherson, LPN
• Steven J. Garrett, M.D., P.C.

• Clinical Social Worker in Mashpee, MA
• Providers in Mashpee, 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 Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.