Individual provider Active NPI

Kristina A Dugas, LCSW

  • Clinical Social Worker
  • Millersville, PA
National Provider Identifier
1285228593
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022819 Issued in PA
Practice address
305 N George St
Millersville, PA 17551-1561
Phone
(717) 208-2886
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MC19757 ME
Clinical Social Worker 1041C0700X CW022819 PA Primary

Addresses

Primary practice location

305 N George St
Millersville, PA 17551-1561

Mailing address

256 S Spruce St
Elizabethtown, PA 17022-2429
Phone (207) 313-2477

Other practice location 1

30 Leavitt St
Skowhegan, ME 04976-1843
Phone (207) 542-4301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20221114000277 PA Practitioner - Clinical Social Worker 1850768300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC19757MEMDSocial Worker
CW022819PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Behavioral Health Organization CurrentSince Mar 1, 2021 Accepting new patients
B & B Therapy Solutions, Inc. Clinical Past Accepting new patients

Locations

30 Leavitt St
Skowhegan, ME 04976
Phone (207) 474-3244

Organizations & group practices 3

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1285228593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 S SPRUCE ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222429",
            "telephone_number": "207-313-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N GEORGE ST",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "175511561",
            "telephone_number": "717-208-2886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Leavitt St",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049761843",
            "country_code": "US",
            "telephone_number": "207-542-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGAS",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC19757",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, PA

Sources for this page

Verify at the official NPI Registry.