Kristin Ann Huseman, DSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34008655A Issued in IN

Practice address

13877 Frontier LN
Cedar Lake, IN 46303-0717

Phone

(219) 776-8669

NPI assigned

Apr 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1760170633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13877 FRONTIER LN",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463030717",
            "telephone_number": "219-776-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13877 FRONTIER LN",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463030717",
            "telephone_number": "219-776-8669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13877 Frontier Ln",
            "address_purpose": "LOCATION",
            "city": "Cedar Lake",
            "state": "IN",
            "postal_code": "463030717",
            "country_code": "US",
            "telephone_number": "219-776-8669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13877 Frontier Ln",
            "address_purpose": "LOCATION",
            "city": "Cedar Lake",
            "state": "IN",
            "postal_code": "463030717",
            "country_code": "US",
            "telephone_number": "121-977-6866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSEMAN",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008655A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cedar Lake, IN
• Providers in Cedar Lake, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.