Individual provider Active NPI

Kristine Ann Weires, LCSW-PIP

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1851693816
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2245 Issued in SD
Practice address
5201 S Western Ave
Suite 105
Sioux Falls, SD 57108-5040
Phone
(605) 361-0114
Fax
(605) 332-1723
NPI assigned
Nov 24, 2010
Last updated
Dec 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2245 SD Primary

Addresses

Primary practice location

5201 S Western Ave
Suite 105
Sioux Falls, SD 57108-5040

Mailing address

5201 S Western Ave
Suite 105
Sioux Falls, SD 57108-5040
Phone (605) 361-0114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20110303000754 SD Practitioner - Clinical Social Worker 9537341102 Practice locations: Sioux Falls, SD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4410 S Tennis LN
Sioux Falls, SD 57106-2256
Phone (605) 906-3358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2245SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristiana Benson Counseling, LLC PastSince Jul 4, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1851693816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S WESTERN AVE",
            "address_2": "SUITE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085040",
            "telephone_number": "605-361-0114",
            "fax_number": "605-332-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S WESTERN AVE",
            "address_2": "SUITE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085040",
            "telephone_number": "605-361-0114",
            "fax_number": "605-332-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIRES",
        "first_name": "KRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW-PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "2245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.