Individual provider Active NPI

Desiree Natasha Krise, LCSW

  • Clinical Social Worker
  • Saint Marys, PA
National Provider Identifier
1659927895
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020699 Issued in PA
Practice address
427 N Saint Marys St
Saint Marys, PA 15857-3657
Phone
(814) 762-1468
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 CW020699 PA Primary

Addresses

Primary practice location

427 N Saint Marys St
Saint Marys, PA 15857-3657

Mailing address

628 Virginia Rd
Saint Marys, PA 15857-3448
Phone (814) 335-8102

Other practice location 1

628 Virginia Rd
Saint Marys, PA 15857-3448
Phone (814) 335-8102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1659927895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 VIRGINIA RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573448",
            "telephone_number": "814-335-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N SAINT MARYS ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573657",
            "telephone_number": "814-762-1468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "628 Virginia Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158573448",
            "country_code": "US",
            "telephone_number": "814-335-8102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISE",
        "first_name": "DESIREE",
        "middle_name": "NATASHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.