Kristi Renee White, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2012003645 Issued in MO

Practice address

423 N Market St
Maryville, MO 64468

Phone

(660) 562-3000

Fax

(660) 562-3002

NPI assigned

May 2, 2012

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

Other identifiers 1

Other names 1

• Kristi Renee Zimmerman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• New Beginnings Counseling Group

  • Social Worker
  • Maryville, MO
  • NPI 1336578442
  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1629336177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N MARKET ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644681614",
            "telephone_number": "660-562-3000",
            "fax_number": "660-562-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N MARKET ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "64468",
            "telephone_number": "660-562-3000",
            "fax_number": "660-562-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 State St",
            "address_purpose": "LOCATION",
            "city": "Mound City",
            "state": "MO",
            "postal_code": "644701717",
            "country_code": "US",
            "telephone_number": "660-442-5464",
            "fax_number": "660-442-5927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KRISTI",
        "middle_name": "RENEE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012003645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629336177",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "ZIMMERMAN",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mikaila Wallace, DO
• Wasif Almuttar,MD,Anes.SVC.,P.C.
• Riley Dale Watkins, ATC, LAT
• Susan Jane Watson, MD
• Myra Webster, COTA
• Gerald W Wilmes, MD
• Hayston W Wilson
• Leslie Alitz Wittmann, OD
• Logan Michael Wood, ATC, LAT
• Michael J Wurm, MD

• Clinical Social Worker in Maryville, MO
• Providers in Maryville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.