Cheryl Patricia Kristoph, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110455 Issued in MA

Practice address

152 Sylvan Street
Catholic Charities
Danvers, MA 01923

Phone

(978) 774-6820

Fax

(978) 777-4242

NPI assigned

Feb 24, 2009

Last updated

Feb 24, 2009By 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

Medicare fee-for-service enrollment

Enrolled in MA

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, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Charitable Bureau of the Archdiocese of Boston, Inc.Group PAC ID 3577471051, 6 clinicians

Practice addresses (Care Compare)

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.

• Catholic Charitable Bureau of the Archdiocese of Boston, Inc.

  dba Catholic Charities FCGC

  • Community/Behavioral Health Agency
  • South Boston, MA
  • NPI 1003979014
  Medicare reassignment Care Compare group NPD
• Catholic Charitable Bureau of the Archdiocesse of Boston, Inc. Dba

  dba Laboure Center Visiting Nurse Service

  • Home Health Agency
  • South Boston, MA
  • NPI 1093723652
  NPD

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1639319197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 NORTH MAIN STREET",
            "address_2": "BROCKTON CATHOLIC CHARITIES",
            "city": "BROCKTON, MA.",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-587-0815",
            "fax_number": "508-580-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SYLVAN STREET",
            "address_2": "CATHOLIC CHARITIES",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-774-6820",
            "fax_number": "978-777-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTOPH",
        "first_name": "CHERYL",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Koumarianos, LICSW
• Maral Kouyoumdjian
• Kayla Kovach
• Della A. M. Kozlowski, PTA
• Kellie Elizabeth Kraus
• Alexandra Krosner, LGSW
• Stephanie Rose Ann Kroutil-McKendry, LCSW
• Scott Kulesa, PT
• Dorothy Kuo
• Erica Lynn Kushner

• Clinical Social Worker in Danvers, MA
• Providers in Danvers, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.