Individual provider Active NPI

Kristine Lee Wilhelmsen, BA

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1407049737
Registry record updated Nov 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4 Hartwell St
Ste 307
Fall River, MA 02721-3019
Phone
(774) 634-9251
Fax
(508) 993-1162
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2016

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 Primary

Addresses

Primary practice location

4 Hartwell St
Ste 307
Fall River, MA 02721-3019

Mailing address

703 Ocean MDWS
Fairhaven, MA 02719-5232
Phone (774) 634-9251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20101006000006 MA Practitioner - Clinical Social Worker 0648462994 Practice locations: Fall River, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Hartwell St
Suite 307
Fall River, MA 02721-3019
Phone (774) 634-9551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Behavioral Health, LLC CurrentSince Mar 30, 2012 Accepting new patients
Kristine L Wilhelmsen Inc CurrentSince Aug 15, 2021 Accepting new patients
Child & Family Services, Inc. PastSince Feb 10, 2023 Accepting new patients

Locations

7 Dean St
Taunton, MA 02780
Phone (508) 822-0006

Organizations & group practices 3

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478995200000",
    "number": "1407049737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 OCEAN MDWS",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195232",
            "telephone_number": "774-634-9251",
            "fax_number": "508-993-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTWELL ST",
            "address_2": "STE 307",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213019",
            "telephone_number": "774-634-9251",
            "fax_number": "508-993-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELMSEN",
        "first_name": "KRISTINE",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2016-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.