Kristine Marie Maier, ACSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003627A Issued in IN

Practice address

865 Renaissance St
Boulder City, NV 89005-1223

Phone

(765) 404-6411

Fax

(765) 449-1769

NPI assigned

Nov 1, 2006

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

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.

• Kristine M Ping, Acsw, LCSW PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boulder City, NV
  • NPI 1518375963
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1497832760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 RENAISSANCE ST",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051223",
            "telephone_number": "765-404-6411",
            "fax_number": "765-449-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 RENAISSANCE ST",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051223",
            "telephone_number": "765-404-6411",
            "fax_number": "765-449-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIER",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "ACSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003627A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8966-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lopez
• Irene Lovelace
• Taylor Lundy
• Dana Marie Lyons I, OTR/L, CPAM
• Cynthia Madison
• Galina Marine, FNP-C
• Kelley McClellan
• Marilyn McComb, DDS
• Linda McCracken
• Elijah Lee McDonald

• Clinical Social Worker in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.