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KRISTEN STACK LCSW
NPI 1225678915
Social Worker - Clinical in Middletown, CT

Active since January 09, 2020PECOS Enrolled
675 MAIN ST, MIDDLETOWN, CT 06457(860) 347-6971 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristen Stack Lcsw NPPES

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

KRISTEN STACK LCSW (NPI 1225678915) is an individual clinical provider in Middletown, Connecticut, licensed in Connecticut (13133) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225678915
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTEN STACKCredential: LCSW
Location Address675 MAIN STMiddletown, CT 06457-2732
Mailing Address685 Farmington AveBerlin, CT 06037-1350
Phone(860) 347-6971
Sole ProprietorNo
Enumeration DateJanuary 9, 2020
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1225678915 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
License✔ Licensed in CT · 13133
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 5051 (CT)
675 MAIN ST, Middletown, CT 06457
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Stack Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

RACHEL MIRIAM BONAPARTE LCSW
Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (203) 347-6971
LISBETH ANE GREIST LCSW, LPCA
Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
MATTHEW HUDDLESTON MD
Family Medicine
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
DIANA MENDOZA
Student in an Organized Health Care Education/Training Program
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
MEREDITH CAMPBELL APRN, FNP-C
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
LYNN M TAYLOR APRN
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
ALISON CARINI DO
Family Medicine
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
JENNIFER ARAUJO BURNS APRN
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971

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 Kristen Stack's NPI number?

The NPI number for Kristen Stack is 1225678915. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Kristen Stack located?

Kristen Stack practices at 675 Main St, Middletown, CT 06457. The listed phone number is (860) 347-6971.

What is Kristen Stack's specialty?

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

Is Kristen Stack enrolled in Medicare?

Yes. Kristen Stack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Stack was last updated on September 18, 2023. 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.