Kristin Brooke Free

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

76134 Issued in CA

Practice address

4 Governors LN Ste C
Chico, CA 95926-5514

Phone

(530) 354-0455

NPI assigned

Jun 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Soulful Somatics Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Chico, CA
  • NPI 1164135604
  NPD

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1992025993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GOVERNORS LN STE C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265514",
            "telephone_number": "530-354-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GOVERNORS LN STE C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265514",
            "telephone_number": "530-354-0455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Hanover Ln",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959737224",
            "country_code": "US",
            "telephone_number": "530-354-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREE",
        "first_name": "KRISTIN",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13985559",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Frantz, BC-HIS
• Michael Fraters, D.O.
• April Lynn Frazier
• Frederick Schlaff, MD, Inc.
• Haley Frediani
• Cari Freeman
• Katie Freeman
• Thomas Freeman Jr.
• Noelle Righter Freer, MPT, CFMT
• Kevin Leonard Freitas

• Clinical Social Worker in Chico, CA
• Providers in Chico, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.