Kristin Marijean Boogaard, BS, MSW CANDIDATE

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61108988 Issued in WA

Practice address

110 W Market St
Aberdeen, WA 98520

Phone

(360) 261-6930

NPI assigned

Jan 3, 2018

Last updated

Jul 15, 2026By the provider in NPPES

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 names 1

• Kristin Marijean Mansker Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quinault Indian NationGroup PAC ID 4385164839, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

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.

• Quinault Indian Nation

  dba Quinault Community Health

  • Family Medicine Physician
  • Aberdeen, WA
  • NPI 1952131757

  TX

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1881101533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 ANDERSON DR STE 203",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201055",
            "telephone_number": "564-215-7385",
            "fax_number": "564-544-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W MARKET ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-261-6930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8815 S Tacoma Way Ste 122",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984997011",
            "country_code": "US",
            "telephone_number": "206-388-0544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOGAARD",
        "first_name": "KRISTIN",
        "middle_name": "MARIJEAN",
        "credential": "BS, MSW CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61108988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MANSKER",
            "middle_name": "MARIJEAN",
            "credential": "BS, MSW CANDIDATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Hazel Mencias Blankenship, MD
• Alice Marie Bledsoe, M.ED
• Tori Ann Blume, DOULA
• Gregory G Bogdanovich, O.D.
• Gary L Boog, PA-C
• Stephanie Leigh Boone, DPT
• Cheryl Ann Boyer I
• Robert E Boyle Jr., PHARMD
• Veronica Xena Rose Bradley
• Jiana Marie Brandt, MS

• Clinical Social Worker in Aberdeen, WA
• Providers in Aberdeen, 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 Jul 15, 2026; 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.