Individual provider Active NPI

Kristoffer Barrington, LSW

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1598337651
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150104428 Issued in IL
Practice address
2200 Lake Victoria Dr
Springfield, IL 62703-5596
Phone
(312) 663-1130
Fax
(312) 663-0504
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 150104428 IL Primary

Addresses

Primary practice location

2200 Lake Victoria Dr
Springfield, IL 62703-5596

Mailing address

1611 E Keys Ave
Springfield, IL 62702-2935
Phone (217) 801-8887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250722000282 IL Order and Referring Only - Clinical Social Worker 5991211435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150104428ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1598337651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 E KEYS AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022935",
            "telephone_number": "217-801-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LAKE VICTORIA DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035596",
            "telephone_number": "312-663-1130",
            "fax_number": "312-663-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRINGTON",
        "first_name": "KRISTOFFER",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150104428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.