Individual provider Active NPI

Kristina Marsey, LMSW

  • Clinical Social Worker
  • McKinney, TX
National Provider Identifier
1679147763
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67971 Issued in TX
Practice address
1402 S Custer Rd Ste 204
McKinney, TX 75072-1452
Phone
(469) 712-9134
NPI assigned
May 13, 2021
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 67971 TX
Clinical Social Worker 1041C0700X 67971 TX Primary

Addresses

Primary practice location

1402 S Custer Rd Ste 204
McKinney, TX 75072-1452

Mailing address

413 Sycamore Creek Rd
Allen, TX 75002-2108
Phone (214) 682-0675

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67971TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Underwood Counseling & Consultation PLLC PastSince Feb 1, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1679147763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SYCAMORE CREEK RD",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022108",
            "telephone_number": "214-682-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S CUSTER RD STE 204",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750721452",
            "telephone_number": "469-712-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSEY",
        "first_name": "KRISTINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "67971",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.