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KRISTINA DATRICE
NPI 1336545524
Social Worker - Clinical in Fresno, CA

Active since November 14, 2014PECOS Enrolled
2550 W CLINTON AVE, FRESNO, CA 93705(559) 264-7521 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kristina Datrice NPPES

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

KRISTINA DATRICE (NPI 1336545524) is an individual clinical provider in Fresno, California, licensed in California (LCSW107391) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336545524
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINA DATRICE
Location Address2550 W CLINTON AVEFresno, CA 93705-4201
Mailing Address5387 N Cresta Ave, NoneFresno, CA 93723-7635 · (559) 709-5696
Phone(559) 264-7521
Sole ProprietorNo
Enumeration DateNovember 14, 2014
Last NPPES UpdateMarch 3, 2023
NPPES CertifiedMarch 3, 2023
✔ NPI 1336545524 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 CA · LCSW107391
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.
2550 W CLINTON AVE, Fresno, CA 93705
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Datrice 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.

Medicare Billing Reassignments

2

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

Sondermind Professional Clinical Counselor, PC
112 mi
Mental Health
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group
NPI 1598629362 (844) 843-7279
Center For New Directions, Inc.
247 mi
Mental Health
23201 MILL CREEK DR STE 220
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
NPI 1578121190 (888) 795-4337

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 93705 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

JEAN C REYES
Counselor (Mental Health)
2550 W CLINTON AVE
FRESNO, CA 93705
Fresno County (559) 264-7521
MR. WILDREN ANTHONY COLLETTE COUNSELOR
Counselor (Addiction (Substance Use Disorder))
2550 W CLINTON AVE
FRESNO, CA 93705
Fresno County (559) 365-9665
STEPHANI YVONE LOPEZ LVN
Licensed Vocational Nurse
2550 W CLINTON AVE
FRESNO, CA 93705
Fresno County (559) 672-4709
MR. MARTY CASTANON
Day Training/Habilitation Specialist
2550 W CLINTON AVE
FRESNO, CA 93705
Fresno County (559) 264-7521
MRS. CARISSA ANN MORGAN
Case Manager/Care Coordinator
2550 W CLINTON AVE
FRESNO, CA 93705
Fresno County (559) 264-7521
STACEY GUZMAN-PACHECO
Counselor
2550 W CLINTON AVE
FRESNO, CA 93705
Fresno County (559) 264-7521
MANDY GARCIA
Licensed Practical Nurse
2550 W CLINTON AVE
FRESNO, CA 93705
Fresno County (559) 341-8285
MR. CARL HARLEN BROWN III OTHER
Day Training/Habilitation Specialist
2550 W CLINTON AVE, BUILDING A SUITE B
FRESNO, CA 93705
Fresno County (559) 264-7521

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 Kristina Datrice's NPI number?

The NPI number for Kristina Datrice is 1336545524. It was assigned to this individual provider in the NPPES registry on November 14, 2014.

Where is Kristina Datrice located?

Kristina Datrice practices at 2550 W Clinton Ave, Fresno, CA 93705. The listed phone number is (559) 264-7521.

What is Kristina Datrice's specialty?

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

Is Kristina Datrice enrolled in Medicare?

Yes. Kristina Datrice is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristina Datrice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Datrice reassigns Medicare benefits to 2 organizations: Sondermind Professional Clinical Counselor, PC (San Jose, CA) and Center For New Directions, Inc. (Laguna Hills, CA). 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 Kristina Datrice'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 Kristina Datrice was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.