Individual provider Active NPI

Kristen Marie Kretschmer, LICSW

  • Clinical Social Worker
  • Wakefield, RI
National Provider Identifier
1396469482
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03257 Issued in RI
Practice address
116 Main St, Suite 1
Wakefield, RI 02879-3669
Phone
(401) 339-0521
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 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 ISW03257 RI Primary

Addresses

Primary practice location

116 Main St, Suite 1
Wakefield, RI 02879-3669

Mailing address

31 Oak St
Wakefield, RI 02879-3302
Phone (040) 133-9052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20240702000075 RI Practitioner - Clinical Social Worker 4789128778 Reassigns benefits to 1 organization
Practice locations: Wakefield, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

231 Old Tower Hill Rd
Suite 203
Wakefield, RI 02879-3708
Phone (401) 339-0521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW03257RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Of the Heart, LLC Clinical CurrentSince Apr 25, 2024 Accepting new patients

Locations

231 Old Tower Hill Rd
Ste 201C
Wakefield, RI 02879
Phone (401) 339-0521

231 Old Tower Hill Rd
Ste 203
Wakefield, RI 02879
Phone (401) 339-0521

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1396469482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OAK ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793302",
            "telephone_number": "040-133-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MAIN ST, SUITE 1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793669",
            "telephone_number": "401-339-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETSCHMER",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.