Kristine Melson Wells, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007781 Issued in VA

Practice address

300 Claremont LN Ste 103
Crozet, VA 22932-3455

Phone

(434) 466-1588

Fax

(866) 289-5249

NPI assigned

Oct 19, 2011

Last updated

Jan 10, 2023By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aligned Clinical & Educational Services

  • Child & Adolescent Psychiatry Physician
  • Crozet, VA
  • NPI 1427471135

  Clinical

  NPD
• Bon Secours Memorial Regional Medical Center

  dba Richmond Diabetes and Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsville, VA
  • NPI 1225263940
  NPD (past)
• Henry E. Morris, DSW, Inc.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1629328588
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1629353818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 FOUR LEAF LN",
            "address_2": "#12",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229039203",
            "telephone_number": "434-466-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLAREMONT LN STE 103",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323455",
            "telephone_number": "434-466-1588",
            "fax_number": "866-289-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KRISTINE",
        "middle_name": "MELSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD",
            "identifier": "0904007781",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emery Folger Taylor Jr., D.D.S.
• Amy Virostek, MED, LAT, ATC
• James Thomas Voltz, LPTA
• Sage Alexandra Wallace, MS, LAT, ATC
• Magarette Weatherwax, D.D.S
• Julie Whalen, NP
• Eleanor Whitenack
• Travis L Wood, DPT

• Clinical Social Worker in Crozet, VA
• Providers in Crozet, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.