Judith Kriskie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012963 Issued in PA

Practice address

16 South Centre Street
Pottsville, PA 17901

Phone

(570) 628-5234

Fax

(570) 628-9051

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Coordinated Health Care, LLCGroup PAC ID 2567624232, 9 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.

• Cornerstone Coordinated Health Care, LLC

  • Rural Health Clinic/Center
  • Frackville, PA
  • NPI 1811269186
  Medicare reassignment Care Compare group NPD
• Judith Kriskie

  • Community/Behavioral Health Agency
  • Mount Carmel, PA
  • NPI 1063720407
  NPD (past) Authorized official
• Cornerstone Coordinated Health Care, LLC

  • Rural Health Clinic/Center
  • Ashland, PA
  • NPI 1174176796
  NPD

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1659303451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "address_2": "613 MCKNIGHT STREET",
            "city": "GORDON",
            "state": "PA",
            "postal_code": "179360045",
            "telephone_number": "570-875-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SOUTH CENTRE STREET",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-628-5234",
            "fax_number": "570-628-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISKIE",
        "first_name": "JUDITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102328162 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KP Anesthesia, PC
• Erica Kramer-Smith, MA
• Kayla Marie Kramer
• Brenda Jean Krammes
• David Paul Krewson, D.O.
• Ashok Kumar, MD
• Angela Fehr Kutz, PHYSICAL THERAPIST
• Tanmay G Lal, M.D.
• Dina Lynn Lally, LCSW
• Heidi I Lapachinsky, CRNA

• Clinical Social Worker in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.