Individual provider Active NPI

Kristen Anne Marsar-Perez, LCSW

  • Clinical Social Worker
  • Stroudsburg, PA
National Provider Identifier
1417382920
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017824 Issued in PA
Practice address
1300 N 5TH St
Suite 102
Stroudsburg, PA 18360-2602
Phone
(570) 424-5100
Fax
(570) 424-5100
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 CW017824 PA Primary

Addresses

Primary practice location

1300 N 5TH St
Suite 102
Stroudsburg, PA 18360-2602

Mailing address

1300 N 5TH St
Rear
Stroudsburg, PA 18360-2602
Phone (570) 424-5100

Other names 1

  • Kristen Anne Marsar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150507000217 PA Practitioner - Clinical Social Worker 9931428349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connections Counseling Services LLCGroup PAC ID 8022337435, 3 clinicians

Practice addresses (Care Compare)

1300 N 5TH St
Suite 102
Stroudsburg, PA 18360-2602
Phone (570) 424-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017824PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Counseling Services, LLC Clinical CurrentSince Apr 13, 2015 Accepting new patients

Locations

1300 N 5th St
Ste 102
Stroudsburg, PA 18360
Phone (570) 424-5100

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1417382920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 5TH ST",
            "address_2": "REAR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602602",
            "telephone_number": "570-424-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 5TH ST",
            "address_2": "SUITE 102",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602602",
            "telephone_number": "570-424-5100",
            "fax_number": "570-424-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSAR-PEREZ",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MARSAR",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.