Individual provider Active NPI

Kristin M Froehlich, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1518296383
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000740 Issued in DE
Practice address
99 Passmore Rd
Wilmington, DE 19803
Phone
(302) 478-9411
Fax
(302) 479-9883
NPI assigned
Dec 8, 2009
Last updated
Apr 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0000740 DE Primary
Clinical Social Worker 1041C0700X SW122371 PA

Addresses

Primary practice location

99 Passmore Rd
Wilmington, DE 19803

Mailing address

1515 Emory Rd
Wilmington, DE 19803-5154
Phone (302) 379-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100222000176 DE Practitioner - Clinical Social Worker 4789728221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Window to Wellness LLCGroup PAC ID 8224395843, 2 clinicians

Practice addresses (Care Compare)

3101 Limestone Rd
Suite C4 C5
Wilmington, DE 19808-2148
Phone (302) 294-6950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW122371PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Window to Wellness, LLC Clinical CurrentSince Jan 1, 2018 Accepting new patients
Jewish Family Services of Delaware Clinical CurrentSince Mar 1, 2014 Accepting new patients

Locations

3101 Limestone Rd
#C4C5
Wilmington, DE 19808

3101 Limestone Rd
Ste C4
Wilmington, DE 19808
Phone (302) 294-6950

99 Passmore Rd
Wilmington, DE 19803
Phone (302) 478-9411

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1518296383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 EMORY RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198035154",
            "telephone_number": "302-379-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PASSMORE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19803",
            "telephone_number": "302-478-9411",
            "fax_number": "302-479-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROEHLICH",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000740",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW122371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.