Kristi L. Wood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1357 Issued in AK

Practice address

1867 Airport Way Ste 110B
Fairbanks, AK 99701-4054

Phone

(907) 799-7500

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Abundant Life Counseling

  • Clinical Social Worker
  • Fairbanks, AK
  • NPI 1285212217
  NPD Authorized official

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1508161308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73730",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997073730",
            "telephone_number": "907-251-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY STE 110B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014054",
            "telephone_number": "907-799-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KRISTI",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "1357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy John Woller, D.D.S.
• Brenda Renee Wolverton, P.T.
• Stephanie H Won, RN
• Kimberly Janne Wonderlich, M.D.
• Heidi Wood, PT
• Robert Allen Wood, PA-C
• Sandra Wood
• Sara MP Wood, LPC
• Alyssa Ann Woodberry, ATC
• Kenneth Woodbury

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.