Kristin Wakefield, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3694C Issued in AL

Practice address

1528 Peachtree LN NW Ste 104
Cullman, AL 35058-0422

Phone

(256) 686-4441

Fax

(256) 686-4443

NPI assigned

Oct 29, 2014

Last updated

Jul 18, 2019By the provider in NPPES

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 AL

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Remedy Behavioral Health LLCGroup PAC ID 3375958853, 46 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kristin Wakefield Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, AL
  • NPI 1124804505
  Medicare reassignment NPD Authorized official
• Remedy Behavioral Health, LLC

  dba Remedy Behavioral Health

  • Psychiatry Physician
  • Florence, AL
  • NPI 1013517317
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1811392152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 PEACHTREE LN NW STE 104",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580422",
            "telephone_number": "256-735-8152",
            "fax_number": "888-255-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 PEACHTREE LN NW STE 104",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580422",
            "telephone_number": "256-686-4441",
            "fax_number": "256-686-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "KRISTIN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3694C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Vintson
• Rachel Vought
• Mitzi M. Wade, DDS
• Van Russell Wadlington, M.D.
• John H Wagner III, M.D., C.M.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-7280)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0670)
• Wal-Mart Stores East, LP (Vision Center 30-0670)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-7280)
• Waldrop Chiropractic Clinic, Inc

• Clinical Social Worker in Cullman, AL
• Providers in Cullman, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.