Individual provider Active NPI

Kristie Ragland Ninesling, LICSW, PIP

  • Clinical Social Worker
  • Deatsville, AL
National Provider Identifier
1942635263
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1230-3764C Issued in AL
Practice address
2615 Hannah Dr
Deatsville, AL 36022-2782
Phone
(334) 730-2111
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2615G AL
Clinical Social Worker 1041C0700X 1230-3764C AL Primary

Addresses

Primary practice location

2615 Hannah Dr
Deatsville, AL 36022-2782

Mailing address

2615 Hannah Dr
Deatsville, AL 36022-2782
Phone (334) 730-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1230-3764CALMDClinical Social Worker
2615GALMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1942635263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 HANNAH DR",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360222782",
            "telephone_number": "334-730-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 HANNAH DR",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360222782",
            "telephone_number": "334-730-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINESLING",
        "first_name": "KRISTIE",
        "middle_name": "RAGLAND",
        "name_prefix": "Mrs.",
        "credential": "LICSW, PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2615G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1230-3764C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deatsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.