Kristin M Staple, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05580800 Issued in NJ

Practice address

200 Woodport Rd
Sparta, NJ 07871-2628

Phone

(862) 268-4670

Fax

(973) 726-3775

NPI assigned

Apr 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hollander Counseling & Consulting LLC

  • Clinical Social Worker
  • Mountain Lakes, NJ
  • NPI 1932511102

  Clinical

  NPD (past)
• Janine Maris LCSW, LLC

  • Clinical Social Worker
  • Newton, NJ
  • NPI 1114178977

  Clinical

  NPD (past)
• Sage Psychotherapy Services, LLC

  • Clinical Social Worker
  • Sparta, NJ
  • NPI 1669880878

  Clinical

  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1780003673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MEADOW POND RD",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074192509",
            "telephone_number": "862-268-4670",
            "fax_number": "973-726-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOODPORT RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712628",
            "telephone_number": "862-268-4670",
            "fax_number": "973-726-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLE",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05580800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Spohn, MA
• Sharon St. Angelo, APN
• Soraya St. Louis-Augustin
• Bonnie Joy Stackhouse, LCSW
• Ernest Michael Staehle, O.D.
• Jonathan Paul Stark, PT DPT
• Jamie Steglic, LPC
• Stephen a. Kowalsky, O.D.
• Susan Sterling, M.S.W., L.C.S.W.
• Jenny A Stone, D.O.

• All providers in Sparta, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.