Active NPI
Kirsten Christenson, MSW, LICSW
- Clinical Social Worker
- Centerville, MN
National Provider Identifier
1972954295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21720
- Practice address
- 7039 20TH Ave
Centerville, MN 55038-9737 - Phone
- (651) 288-0332
- Fax
- (651) 288-0493
- NPI assigned
- Jun 28, 2016
- Last updated
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21720 | MN | Primary |
Addresses
Primary practice location
7039 20TH Ave
Centerville, MN 55038-9737
Mailing address
7039 20TH Ave
Centerville, MN 55038-9737
Phone (651) 288-0332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 2, 2024 through Jan 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1972954295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7039 20TH AVE",
"city": "CENTERVILLE",
"state": "MN",
"postal_code": "550389737",
"telephone_number": "651-288-0332",
"fax_number": "651-288-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7039 20TH AVE",
"city": "CENTERVILLE",
"state": "MN",
"postal_code": "550389737",
"telephone_number": "651-288-0332",
"fax_number": "651-288-0493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSON",
"first_name": "KIRSTEN",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "21720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.