CHRISTINE LEIGH KMIECIK
NPI 1053684712
Social Worker - Clinical in Scott Air Force Base, IL

Active since February 10, 2012
310 W LOSEY ST, SCOTT AIR FORCE BASE, IL 62225(618) 256-9355 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2025, Aug 9, 2023, May 7, 2021 (3 updates tracked since 2021).

About Christine Leigh Kmiecik NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE LEIGH KMIECIK (NPI 1053684712) is an individual clinical provider in Scott Air Force Base, Illinois and active in the NPI registry since February 2012. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053684712
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHRISTINE LEIGH KMIECIK
Location Address310 W LOSEY STScott Air Force Base, IL 62225-5250
Mailing Address310 W Losey StScott Air Force Base, IL 62225-5250 · (618) 256-9355
Sole ProprietorYes
Enumeration DateFebruary 10, 2012
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1053684712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

310 W LOSEY ST, Scott Air Force Base, IL 62225

Secondary Practice Locations 3

Location 11100 Wilford Hall Loop Bldg 4554San Antonio, TX 78236-5638 · Phone (210) 292-4468
Location 218th Medical Group, Unit 5142APO, AP 96368-5142 · Phone (815) 247-8700
Location 33 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · Phone (618) 222-4600

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
310 W LOSEY ST
SCOTT AFB, IL 62225
Physical Therapist
310 W LOSEY ST
SCOTT AFB, IL 62225
Pharmacist
310 W LOSEY ST
SCOTT AFB, IL 62225
Family Medicine
310 W LOSEY ST
SCOTT AFB, IL 62225
Registered Nurse
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
Dentist (Prosthodontics)
310 W LOSEY ST
SCOTT AFB, IL 62225
Obstetrics & Gynecology
310 W LOSEY ST
SCOTT AFB, IL 62225
Dentist (General Practice)
310 W LOSEY ST
SCOTT AFB, IL 62225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Kmiecik's NPI number?

The NPI number for Christine Kmiecik is 1053684712. It was assigned to this individual provider in the NPPES registry on February 10, 2012.

Where is Christine Kmiecik located?

Christine Kmiecik practices at 310 W Losey St, Scott Air Force Base, IL 62225. The listed phone number is (618) 256-9355.

What is Christine Kmiecik's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Christine Kmiecik was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.