Individual provider Active NPI

Kristine Geralyn Kemp, LICSW

  • Social Worker
  • Clarkston, WA
National Provider Identifier
1982190583
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW60853934 Issued in WA
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

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180825000166 WA Practitioner - Clinical Social Worker 2860741709 Reassigns benefits to 3 organizations
I20220429000670 ID Practitioner - Clinical Social Worker 2860741709 Reassigns benefits to 1 organization
I20221010000256 CO Practitioner - Clinical Social Worker 2860741709 Reassigns benefits to 1 organization

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
Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

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

OrganizationSpecialtyStatusNew patients
Palouse River Counseling Center CurrentSince Aug 2, 2018 Accepting new patients
Sokyahealth LLC CurrentSince Mar 23, 2022 Accepting new patients
Quality Behavioral Health CurrentSince Mar 5, 2019 Accepting new patients
Sokyahealth Medical Group PC CurrentSince May 16, 2022 Accepting new patients
Shashita Inamdar MD Professional Corporation PastSince May 16, 2022 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

  • Direct secure messaging: kristine.kemp.p1@direct.sokya.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.