Kristin L Moultine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60061570 Issued in WA

Practice address

2901 Bridgeport Way W
University Place, WA 98466-4614

Phone

(253) 534-7000

Fax

(253) 534-7099

NPI assigned

Jun 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Franciscan Health System

  • Clinic/Center
  • Tacoma, WA
  • NPI 1225251937
  NPD (past)
• Franciscan Health System

  • Psychiatric Hospital Unit
  • Tacoma, WA
  • NPI 1497978100
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1821350299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614",
            "telephone_number": "253-534-7000",
            "fax_number": "253-534-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614",
            "telephone_number": "253-534-7000",
            "fax_number": "253-534-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTINE",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60061570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8952612",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8952613",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary E. Moran, PHD, MSW, LICSW
• Anastasha Nicole Moreno, LMFTA
• Shannon Shirley Morrow
• Moseman Counseling
• Christopher Adam Moseman, MA, LMHC
• Elissa Steffen Mount
• Mountain Palms Manor Adult Family Home LLC
• Mountains Meet Medical PLLC
• Mountains to Sound Mental Health PLLC
• Phoebe Kirigo Mugo

• Clinical Social Worker in University Place, WA
• Providers in University Place, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.