Kristi Quattrochi, LCSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8011 Issued in TN

Practice address

1820 Memorial Dr Ste 203
Clarksville, TN 37043-4693

Phone

(859) 699-1963

NPI assigned

Jan 16, 2018

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adultspan PC

  dba Our Spoken Love

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1104552892
  NPD
• KVC Behavioral Healthcare Nebraska, Inc

  dba KVC Nebraska

  • Community/Behavioral Health Agency
  • Lincoln, NE
  • NPI 1568790483
  NPD (past)

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1467960112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 SONJA DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370426727",
            "telephone_number": "402-499-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL DR STE 203",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434693",
            "telephone_number": "859-699-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUATTROCHI",
        "first_name": "KRISTI",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5691",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2887",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256383",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2049",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027607100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily R Puskar, M.A., BCBA
• QC Dental PLLC
• QCWH PC
• Lauren Quail, MS CCC-SLP
• Quality Personal Care, Inc.
• Campbell Query
• Quiet Valor Counseling PC
• Tegan Quigley, CHES, PHD
• Alesha Marie Quinn, PT, DPT
• Sarah Nicole Quinn

• Clinical Social Worker in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.