Kristina Rose Aide, LCSW
Individual provider Active NPI Clinical Social Worker · Union, MO
NPI 1821724832 · NPPES record last updated Dec 6, 2024
Key facts
- NPI
- 1821724832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2024047721 (MO)
- Practice address
- 1780 Old Highway 50 E
Union, MO 63084-3397 - Phone
- (636) 582-8100
- NPI assigned
- Aug 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241211002252 | MO | Practitioner - Clinical Social Worker | 8527594704 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Clinical | Current |
Accepting new patients |
| Compass Health, Inc | Current |
Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
500 Clark Ave
Union, MO 63084
Phone (636) 224-1400
1780 Old Highway 50 E
Union, MO 63084
Phone (636) 582-8100
1780 Old Highway 50 E
Ste 102
Union, MO 63084
Phone (636) 583-1611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2024047721 | MO | Yes |
Addresses
Primary practice location
1780 Old Highway 50 E
Union, MO 63084-3397
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other names
- Kristina Stahlman
Other providers in Union, MO
- Molly Ann Albrecht
- Hussain Alhashem
- Alternatives Care System, Inc.
- Americare at Victorian Manor of Union, LLC
- Christopher E Anderson
All providers in Union, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.