Active NPI
Kristine Geralyn Kemp, LICSW
- Social Worker
- Clarkston, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW60853934
- Practice address
- 900 7TH Street
Clarkston, WA 99403 - Phone
- (509) 334-1133
- NPI assigned
- Jul 6, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LW60853934 | WA | Primary |
Addresses
Primary practice location
900 7TH Street
Clarkston, WA 99403
Mailing address
900 7TH Street
Clarkston, WA 99403
Phone (509) 334-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
385 Inverness Pkwy
Suite 280
Englewood, CO 80112-5852
Phone (877) 840-6956
5109 NE 82ND Ave
Suite 215
Vancouver, WA 98662-6841
Phone (877) 840-6956
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palouse River Counseling Center | Current | Accepting new patients | |
| Sokyahealth LLC | Current | Accepting new patients | |
| Quality Behavioral Health | Current | Accepting new patients | |
| Sokyahealth Medical Group PC | Current | Accepting new patients | |
| Shashita Inamdar MD Professional Corporation | Past | Accepting new patients |
Locations
720 S Colorado Blvd
Ste 610S
Denver, CO 80246
Phone (303) 399-5300
385 Inverness Pkwy
Ste 280
Englewood, CO 80112
348 W Parkcenter Blvd
Ste 120
Boise, ID 83706
1250 W Ironwood Dr
Ste 109
Coeur D Alene, ID 83814
900 7th St
Clarkston, WA 99403
Phone (509) 758-3341
340 NE Maple St
Pullman, WA 99163
Phone (509) 334-1133
5109 NE 82nd Ave
Ste 215
Vancouver, WA 98662
Phone (832) 840-1604
Interoperability endpoints
- kristine.kemp.p1@direct.sokya.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Pullman, WA
- NPI 1063486272
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Clarkston, WA
- NPI 1790707776
-
- Psychiatry Physician
- San Diego, CA
- NPI 1902220809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1982190583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 7TH STREET",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "99403",
"telephone_number": "509-334-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 7TH STREET",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "99403",
"telephone_number": "509-334-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "KRISTINE",
"middle_name": "GERALYN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60853934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.