Kristin Nakajima, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009814 Issued in NC

Practice address

1437 Military Cutoff Rd Ste 200
Wilmington, NC 28403-3638

Phone

(910) 444-4771

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kristin Landry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clarity Counseling Center

  • Psychologist
  • Wilmington, NC
  • NPI 1770965139
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1447571898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 WILLOWICK PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093701",
            "telephone_number": "978-895-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 MILITARY CUTOFF RD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033638",
            "telephone_number": "910-444-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAJIMA",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MSW004482",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000606317B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LANDRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Louise Myslinski, PHARMD
• Menaka M Nadar, M.D.
• Gowd Shiva Nagaraj, MD
• Robert Frank Nagy, D.C.
• Nancy Ramsey Nail, R.D.
• Troy O.N. Naki, DMD
• Claire Sandra Namboodri
• Cameron Justo Nanagas
• Andrea Simmons Nance, FNP
• Courtney Michelle Nance, FNP-C

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.