Individual provider Active NPI

Kristina Kearns, MSW, LISW-S

  • Clinical Social Worker
  • Chesterhill, OH
National Provider Identifier
1548662240
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1200630-SUPV Issued in OH
Practice address
5740 Steffy Hambel LN
Chesterhill, OH 43728-9035
Phone
(864) 310-5420
Fax
(864) 310-5420
NPI assigned
Sep 24, 2014
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 I.200630 OH
Clinical Social Worker 1041C0700X I.1200630-SUPV OH Primary

Addresses

Primary practice location

5740 Steffy Hambel LN
Chesterhill, OH 43728-9035

Mailing address

5740 Steffy Hambel LN
Chesterhill, OH 43728-9035
Phone (864) 310-5420

Other identifiers 1

IdentifierTypeStateIssuer
0166439MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1200630-SUPVOHMDClinical Social Worker
I.200630OHMDClinical Social Worker
12774SCMDPharmacist

Interoperability endpoints

  • Direct secure messaging: kristina.kearns.1@30520.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1548662240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 STEFFY HAMBEL LN",
            "city": "CHESTERHILL",
            "state": "OH",
            "postal_code": "437289035",
            "telephone_number": "864-310-5420",
            "fax_number": "864-310-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 STEFFY HAMBEL LN",
            "city": "CHESTERHILL",
            "state": "OH",
            "postal_code": "437289035",
            "telephone_number": "864-310-5420",
            "fax_number": "864-310-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "KRISTINA",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.200630",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200630-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166439",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterhill, OH

Sources for this page

Verify at the official NPI Registry.