Kristen M Gingrich, LCSW, CADC, CCS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC17472 Issued in ME

Practice address

24 Stone St Ste 201
Augusta, ME 04330-5209

Phone

(207) 623-3712

NPI assigned

Feb 10, 2016

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1295193811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 FALMOUTH RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624542",
            "telephone_number": "717-342-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STONE ST STE 201",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305209",
            "telephone_number": "207-623-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRICH",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "LCSW, CADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giles Gifford
• Amber Lorraine Gilbert, MSW
• Heather Gilbert, FNP-C
• Morgan Gilbert, LMSW-CC
• Jasmine B Giles, MSW-CC
• Eugene Harrison Glad, DMD
• Alan S Glann, M.D.
• Brett Glasheen
• Sienna-Morgan G Glavin, PT, DPT
• Maroulla Gleaton, M.D.

• Clinical Social Worker in Augusta, ME
• Providers in Augusta, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.