Individual provider Active NPI

Kristina M Perkins, LCSW

  • Clinical Social Worker
  • Georgetown, DE
National Provider Identifier
1679771661
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000878 Issued in DE
Practice address
406 S Bedford St
Suite 9
Georgetown, DE 19947-1850
Phone
(302) 856-9578
Fax
(302) 856-6297
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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 Q1-0000878 DE Primary

Addresses

Primary practice location

406 S Bedford St
Suite 9
Georgetown, DE 19947-1850

Mailing address

2601 W 4TH St
PO Box 2610
Wilmington, DE 19805-3309
Phone (302) 856-9578

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

State licenses

LicenseStateTypeSpecialty
Q1-0000878DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
People'S Place II, Inc. PastSince Jun 7, 1999 Accepting new patients
Catholic Charities Inc Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1679771661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W 4TH ST",
            "address_2": "PO BOX 2610",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053309",
            "telephone_number": "302-856-9578",
            "fax_number": "302-856-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S BEDFORD ST",
            "address_2": "SUITE 9",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471850",
            "telephone_number": "302-856-9578",
            "fax_number": "302-856-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.