Individual provider Active NPI

Kristen Marie Fritsinger, MSW, LICSW

  • Clinical Social Worker
  • Fridley, MN
National Provider Identifier
1407864812
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14765 Issued in MN
Practice address
7362 University Ave NE
Suite 101
Fridley, MN 55432-3142
Phone
(763) 503-3981
Fax
(763) 503-3981
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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 14765 MN Primary

Addresses

Primary practice location

7362 University Ave NE
Suite 101
Fridley, MN 55432-3142

Mailing address

7362 University Ave NE
Suite 101
Fridley, MN 55432-3142
Phone (763) 503-3981

Other identifiers 2

IdentifierTypeStateIssuer
081675200MedicaidMN
8G624DIOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040709000949 MN Practitioner - Clinical Social Worker 5890773535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
DBT AssociatesGroup PAC ID 6800889577, 6 clinicians

Practice addresses (Care Compare)

7362 University Ave NE
Suite 101
Fridley, MN 55432-3152
Phone 7635033981101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14765MNMDComputed Tomography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
DBT Associates Clinical CurrentSince May 13, 2004 Accepting new patients

Locations

7362 University Ave NE
Ste 101
Minneapolis, MN 55432
Phone (763) 503-3981

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1407864812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE",
            "address_2": "SUITE 101",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323142",
            "telephone_number": "763-503-3981",
            "fax_number": "763-503-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE",
            "address_2": "SUITE 101",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323142",
            "telephone_number": "763-503-3981",
            "fax_number": "763-503-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITSINGER",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081675200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G624DI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.