Krister Willgren, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077319 Issued in NY

Practice address

1 Ladentown Rd
Pomona, NY 10970-2728

Phone

(917) 538-7075

NPI assigned

Apr 3, 2007

Sex

Male

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 NY

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, 2005

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Family Services of Westchester, Inc.Group PAC ID 1153216049, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Family Services of Westchester, Inc.

  • Community/Behavioral Health Agency
  • Port Chester, NY
  • NPI 1699727941
  Medicare reassignment Care Compare group NPD
• Family Services of Westchester, Inc.

  • Home Health Agency
  • Mount Vernon, NY
  • NPI 1740587724
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1699896092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LADENTOWN RD",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702728",
            "telephone_number": "917-538-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LADENTOWN RD",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702728",
            "telephone_number": "917-538-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLGREN",
        "first_name": "KRISTER",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02962958",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Sheldon Weiss, DDS
• Evan Weissman, D.O.
• Chana Weitz, LMSW
• Sean Patrick Wengerter, MD, RPVI
• Victoria Whitfield
• William J Schwartz MD PC
• Sarah Misha Witkes
• Beverly Witter
• Amanda Pope Wohl, PT
• Women'S Health Medical Group of New York, PLLC

• Clinical Social Worker in Pomona, NY
• Providers in Pomona, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.