Individual provider Active NPI

Kristin Nielsen-Kondak

  • Clinical Social Worker
  • Manahawkin, NJ
National Provider Identifier
1316896129
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06987200 Issued in NJ
Practice address
237 Nautilus Dr
Manahawkin, NJ 08050-2237
Phone
(732) 703-5042
NPI assigned
Jan 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 44SL06987200 NJ Primary

Addresses

Primary practice location

237 Nautilus Dr
Manahawkin, NJ 08050-2237

Mailing address

237 Nautilus Dr
Manahawkin, NJ 08050-2237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260416003395 NJ Practitioner - Clinical Social Worker 9931675998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brownstone Center for Wellness LLCGroup PAC ID 6709320302, 7 clinicians

Practice addresses (Care Compare)

331 Tilton Rd
Suite 28
Northfield, NJ 08225-1201
Phone (609) 833-1644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06987200NJMDClinical Social Worker

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": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1316896129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 NAUTILUS DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 NAUTILUS DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502237",
            "telephone_number": "732-703-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN-KONDAK",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06987200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.