KRISTINE WEIDNER LCSW LLC
NPI 1205626009
Community/Behavioral Health in North Haven, CT
About Kristine Weidner Lcsw Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINE WEIDNER LCSW LLC (NPI 1205626009) is a healthcare organization registered as a community/behavioral health in North Haven, Connecticut and active in the NPI registry since May 2025. The organization lists Kristine Weidner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristine Weidner Lcsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kristine Weidner Lcsw LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kristine Weidner Lcsw LLC's NPI number?
The NPI number for Kristine Weidner Lcsw LLC is 1205626009. It was assigned to this organization in the NPPES registry on May 7, 2025.
Where is Kristine Weidner Lcsw LLC located?
Kristine Weidner Lcsw LLC is located at 200 State St, North Haven, CT 06473. The listed phone number is (518) 466-4408.
What is Kristine Weidner Lcsw LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Kristine Weidner Lcsw LLC enrolled in Medicare?
Yes. Kristine Weidner Lcsw LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kristine Weidner Lcsw LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kristine Weidner Lcsw LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kristine Weidner Lcsw LLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Kristine Weidner Lcsw Llc · NPI 1205626009
Community/Behavioral Health organization in North Haven, Connecticut. Organization record, active in the CMS NPPES registry since May 7, 2025.
## Identity
- **NPI:** 1205626009 (Entity type: Organization)
- **Enumerated:** May 7, 2025
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Kristine Weidner, OWNER
## Practice location
- **Address:** 200 STATE ST, North Haven, CT 06473-2207
- **Phone:** (518) 466-4408
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205626009) · Data from the CMS NPPES public registry.