Individual provider Active NPI

Kristien Hollingsworth, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1720315005
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6374-C Issued in NV
Practice address
1415 Galisteo St
Santa Fe, NM 87505-4666
Phone
(702) 325-7689
NPI assigned
Nov 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60084 TX
Clinical Social Worker 1041C0700X 6374-C NV Primary
Clinical Social Worker 1041C0700X 17411 AZ
Clinical Social Worker 1041C0700X IC611 NV
Clinical Social Worker 1041C0700X 21840 FL
Clinical Social Worker 1041C0700X 4585 HI
Clinical Social Worker 1041C0700X C-09385 NM

Addresses

Primary practice location

1415 Galisteo St
Santa Fe, NM 87505-4666

Mailing address

1415 Galisteo St
Santa Fe, NM 87505-4666
Phone (702) 325-7689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240830003519 HI Practitioner - Clinical Social Worker 9638536329 Reassigns benefits to 1 organization
I20251103003360 NM Practitioner - Clinical Social Worker 9638536329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
17411AZMDClinical Social Worker
4585HIMDClinical Social Worker
C-09385NMMDClinical Social Worker
6374-CNVMDClinical Social Worker
IC611NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Counseling, Inc. 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": "1257552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1720315005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 GALISTEO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054666",
            "telephone_number": "702-325-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 GALISTEO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054666",
            "telephone_number": "702-325-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "KRISTIEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-07",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6374-C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "17411",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC611",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "21840",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4585",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.