Active NPI
Kristina Cloetingh, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1699407627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 475 Spring LN
Philadelphia, PA 19128-3918 - Phone
- (610) 420-6045
- NPI assigned
- Jun 28, 2022
- Last updated
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
475 Spring LN
Philadelphia, PA 19128-3918
Mailing address
111 Forrest Ave Rear
Narberth, PA 19072-2251
Phone (610) 420-6045
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1699407627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FORREST AVE REAR",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722251",
"telephone_number": "610-420-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SPRING LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191283918",
"telephone_number": "610-420-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOETINGH",
"first_name": "KRISTINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Cliveden Center, LLC (AristaCare at Cliveden)
- Cliveden Nursing and Rehabilitation Center PA, LP
- Cliveden Operating, LLC (Cliveden Nursing and Rehabilitation Center)
- Cliveden- Maplewood Convalescent Center Inc
- Cliveden- Maplewood Convalescent Center Inc
- Chelsa L Clofer, R-DMT
- Brian J Clohessy, DO
- Patrice K Clor Alexander, CRNA
- Jeremy David Close, M.D.
- Cynthia Closs, DSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.