JUSTIN ROBERT KRETZSCHMAR MSW, LCSWA, LCASA
NPI 1144691403
Social Worker - Clinical in Durham, NC

Active since October 13, 2015PECOS EnrolledAccepts Medicare Assignment
2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707(919) 590-5518 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Justin Robert Kretzschmar Msw, Lcswa, Lcasa NPPES

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

JUSTIN ROBERT KRETZSCHMAR MSW, LCSWA, LCASA (NPI 1144691403) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (P009679) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1144691403
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN ROBERT KRETZSCHMARCredential: MSW, LCSWA, LCASA
Location Address2670 DURHAM CHAPEL HILL BLVDDurham, NC 27707-2829
Mailing Address2670 Durham Chapel Hill BlvdDurham, NC 27707-2829 · (919) 590-5518
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 13, 2015
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1144691403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P009679
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.
2670 DURHAM CHAPEL HILL BLVD, Durham, NC 27707

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Robert Kretzschmar Msw, Lcswa, Lcasa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42585739
PECOS Enrollment IDI20171005002069
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Kretzschmar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
2670 DURHAM CHAPEL HILL BLVD
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • 62 clinicians in this Medicare group
Social Worker
2213 ELBA ST
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1558392977 (North Carolina)
  • 1,503 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
2670 DURHAM CHAPEL HILL BLVD
DURHAM, NC 27707
Social Worker (Clinical)
2670 DURHAM CHAPEL HILL BLVD
DURHAM, NC 27707
Counselor (Mental Health)
2670 DURHAM CHAPEL HILL BLVD
DURHAM, NC 27707
Social Worker (Clinical)
2670 DURHAM CHAPEL HILL BLVD
DURHAM, NC 27707
Community/Behavioral Health
2670 DURHAM CHAPEL HILL BLVD
DURHAM, NC 27707
Social Worker (Clinical)
2670 DURHAM CHAPEL HILL BLVD
DURHAM, NC 27707
Social Worker (Clinical)
2670 DURHAM CHAPEL HILL BLVD
DURHAM, NC 27707
Clinical Medical Laboratory
2670 DURHAM CHAPEL HILL BLVD
DURHAM, NC 27707

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 Justin Kretzschmar's NPI number?

The NPI number for Justin Kretzschmar is 1144691403. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Where is Justin Kretzschmar located?

Justin Kretzschmar practices at 2670 Durham Chapel Hill Blvd, Durham, NC 27707. The listed phone number is (919) 590-5518.

What is Justin Kretzschmar's specialty?

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

Is Justin Kretzschmar enrolled in Medicare?

Yes. Justin Kretzschmar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Justin Kretzschmar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Kretzschmar reassigns Medicare benefits to 2 organizations: Carolina Outreach, LLC (Durham, NC) and Duke University Health System, Inc. (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Kretzschmar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Kretzschmar was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.