Kristine Lane, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

106 Apple St Ste 110
Tinton Falls, NJ 07724-2670

Phone

(732) 542-6422

NPI assigned

Jun 21, 2022

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

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Tides of Change Counseling

  • Clinical Social Worker
  • Tinton Falls, NJ
  • NPI 1508578717
  Medicare reassignment NPD Authorized official
• Mental Health Association of Monmouth County

  • Mental Health Counselor
  • Tinton Falls, NJ
  • NPI 1841701083
  Medicare reassignment NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1518698554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 GARDEN RD",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024430",
            "telephone_number": "603-361-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 APPLE ST STE 110",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242670",
            "telephone_number": "732-542-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Kolansky, M.D.
• Maria Kolarsick, DNP
• Jason J Koller, PTA
• Timothy Michael Komazec, PT
• Alexandra Kovaleva, M.D.
• Jennifer Ann Laporta, M.D.
• Amy Lynn Larocca, RN, APN-C
• Anna Lazic, ATC
• Deborah Lee, BCBA
• Debra Lemasters-Parzel, APN

• Clinical Social Worker in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.