Individual provider Active NPI

Kristin Mara Wolcott Farese, LCSW

  • Clinical Social Worker
  • Gainesville, FL
National Provider Identifier
1922292556
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6009 Issued in FL
Practice address
2610 NW 43Rd St
Suite 2a
Gainesville, FL 32606-6675
Phone
(352) 378-0900
Fax
(352) 378-7849
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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 SW6009 FL Primary

Addresses

Primary practice location

2610 NW 43Rd St
Suite 2a
Gainesville, FL 32606-6675

Mailing address

2610 NW 43Rd St
Suite 2a
Gainesville, FL 32606-6675
Phone (352) 378-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 25, 2026 through Mar 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates P a Clinical Past Accepting new patients
Kathleen M. Gierhart, LMHC, P.L. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1922292556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 NW 43RD ST",
            "address_2": "SUITE 2A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066675",
            "telephone_number": "352-378-0900",
            "fax_number": "352-378-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 NW 43RD ST",
            "address_2": "SUITE 2A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066675",
            "telephone_number": "352-378-0900",
            "fax_number": "352-378-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLCOTT FARESE",
        "first_name": "KRISTIN",
        "middle_name": "MARA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.