Active NPI
Kristen Marie Kretschmer, LICSW
- Clinical Social Worker
- Wakefield, RI
National Provider Identifier
1396469482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW03257
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW03257 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Of the Heart, LLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.