Active NPI
Kristina A Dugas, LCSW
- Clinical Social Worker
- Millersville, PA
National Provider Identifier
1285228593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW022819
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC19757 | ME | MD | Social Worker |
| CW022819 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Behavioral Health Organization | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lancaster, PA
- NPI 1043408818
-
- Community/Behavioral Health Agency
- Skowhegan, ME
- NPI 1992096515
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.