Individual provider Active NPI

Kristin Yirenkyi

  • Clinical Social Worker
  • Hyattsville, MD
National Provider Identifier
1346991387
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21298 Issued in MD
Practice address
8181 Professional PL Ste 200
Hyattsville, MD 20785-7219
Phone
(301) 306-4590
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 21298 MD Primary

Addresses

Primary practice location

8181 Professional PL Ste 200
Hyattsville, MD 20785-7219

Mailing address

12100 Benjamin St
Beltsville, MD 20705-1158
Phone (240) 461-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20220623000034 DC Practitioner - Clinical Social Worker 4486033321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interdynamics IncGroup PAC ID 2860670213, 6 clinicians

Practice addresses (Care Compare)

8181 Professional PL
Suite 200
Landover, MD 20785-7219
Phone (301) 306-4590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21298MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interdynamics, Inc. Clinical CurrentSince May 8, 2022 Accepting new patients
Interdynamics, Inc. PastSince Jan 21, 2022 Accepting new patients

Locations

8181 Professional Pl
Ste 200
Landover, MD 20785
Phone (301) 306-4590

Organizations & group practices 2

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1346991387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 BENJAMIN ST",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051158",
            "telephone_number": "240-461-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 PROFESSIONAL PL STE 200",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207857219",
            "telephone_number": "301-306-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIRENKYI",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.