Kristin Marie George, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

53-79725 Issued in KS

Practice address

1412 N 2ND St
Atchison, KS 66002-1203

Phone

(913) 367-4879

NPI assigned

Aug 11, 2022

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)

Not 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.

• Atchison Community Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Leavenworth, KS
  • NPI 1710725288
  NPD (past)
• Atchison Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atchison, KS
  • NPI 1407108335
  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1831827468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 LEISURELY DR",
            "city": "EFFINGHAM",
            "state": "KS",
            "postal_code": "660235038",
            "telephone_number": "913-370-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 N 2ND ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660021203",
            "telephone_number": "913-367-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "53-79725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Albright Frieden, O.D.
• Alisha Frierdich
• Michael R Fritz, DDS
• Rachel Dawn Gauntt Weaver, TLMSW
• Abby Gentry, FNP-C
• David Campbell Gerlach, M.D.
• Elizabeth Lynn Gilbert, LMLP, LMAC
• Marilyn Franck Glenn, BS., MA, D.MIN.
• Ellen Glynn
• Kerstin M Glynn, MD

• Social Worker in Atchison, KS
• Providers in Atchison, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.