Kristine A Weidner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

010161 Issued in CT

Practice address

200 State St
North Haven, CT 06473-2207

Phone

(518) 466-4408

NPI assigned

Jun 12, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Kristine Weidner LCSW LLC

  • Community/Behavioral Health Agency
  • North Haven, CT
  • NPI 1205626009
  Medicare reassignment NPD Authorized official
• Capital Region Physical Therapy, PLLC

  • Orthopedic Physical Therapist
  • Slingerlands, NY
  • NPI 1467583807
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1871535914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "518-466-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "518-466-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "KRISTINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "313547",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "549454",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katryn Vosburg, FNP
• Walgreen Eastern Co Inc
• Andrew Wang, M.D., PH.D.
• Washington Pharmacy Inc
• Gwendolyn Lorraine Watford, R.N.
• Wellness for Warriors LLC
• Cara Lynne Welsh, PA-C
• Charles F Wetmore, APRN
• Michael Alexander Whitley, PHARM. D.
• Wholecare Family and Occupational Health PLLC

• Clinical Social Worker in North Haven, CT
• Providers in North Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.