Individual provider Active NPI

Kristina Hinrichs, LICSW

  • Clinical Social Worker
  • Puyallup, WA
National Provider Identifier
1356786529
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61094640 Issued in WA
Practice address
1706 S Meridian Ste 130
Puyallup, WA 98371-7516
Phone
(253) 848-8797
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LW61094640 WA Primary

Addresses

Primary practice location

1706 S Meridian Ste 130
Puyallup, WA 98371-7516

Mailing address

2116 62ND Loop SE
Auburn, WA 98092-8028
Phone (206) 304-1934

Other practice location 1

325 9th Ave
Box 359760
Seattle, WA 98104-2420
Phone (206) 744-8030

Other practice location 2

475 22nd Ave Rm 101
Honolulu, HI 96816-4400
Phone (808) 338-6810 ext. 189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Clinical CurrentSince Nov 2, 2020 Accepting new patients
Multicare Health System Multi-Specialty Current Accepting new patients
Multicare Health System CurrentSince Nov 2, 2020 Accepting new patients
Multicare Health System Multi-Specialty PastSince Nov 8, 2020 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 4

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1356786529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 62ND LOOP SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928028",
            "telephone_number": "206-304-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 S MERIDIAN STE 130",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717516",
            "telephone_number": "253-848-8797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 9th Ave",
            "address_2": "Box 359760",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042420",
            "country_code": "US",
            "telephone_number": "206-744-8030",
            "fax_number": "206-744-8652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 22nd Ave Rm 101",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968164400",
            "country_code": "US",
            "telephone_number": "808-338-6810 x189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINRICHS",
        "first_name": "KRISTINA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61094640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.