Individual provider Active NPI

Kristi Ann Goldthwaite, LCSW

  • Clinical Social Worker
  • Warren, PA
National Provider Identifier
1710675962
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023530 Issued in PA
Practice address
625 S State St
Warren, PA 16365-1248
Phone
(814) 230-2203
NPI assigned
Apr 26, 2023
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW023530 PA
Clinical Social Worker 1041C0700X CW023530 PA Primary

Addresses

Primary practice location

625 S State St
Warren, PA 16365-1248

Mailing address

625 S State St
Warren, PA 16365-1248
Phone (814) 230-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20230824000436 PA Practitioner - Clinical Social Worker 0840653887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

625 S State St
Warren, PA 16365-1248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW023530PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Innocence LLC Dba Cardinal Counseling Mental Health CurrentSince Feb 23, 2026 Accepting new patients
Riverside Counseling, LLC Multi-Specialty CurrentSince Jul 22, 2023 Accepting new patients

Locations

200 W 3rd Ave
Warren, PA 16365
Phone (814) 230-3042

625 S State St
Warren, PA 16365
Phone (814) 230-2203

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, 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": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1710675962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S STATE ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651248",
            "telephone_number": "814-230-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S STATE ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651248",
            "telephone_number": "814-230-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDTHWAITE",
        "first_name": "KRISTI",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW023530",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.