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KRISTEE K. CRIDDLE LISW
NPI 1417076209
Social Worker in Shelley, ID

Active since March 29, 2007PECOS Enrolled
856 E 1300 N, SHELLEY, ID 83274(208) 241-1377 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 19, 2021, Jan 14, 2021 (2 updates tracked since 2021).

About Kristee K. Criddle Lisw NPPES

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

KRISTEE K. CRIDDLE LISW (NPI 1417076209) is an individual social worker in Shelley, Idaho, licensed in Washington (LW61074095) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1417076209
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKRISTEE K. CRIDDLECredential: LISW
Location Address856 E 1300 NShelley, ID 83274-5134
Mailing Address700 Lilly Rd NeOlympia, WA 98506-5115 · (360) 923-7000 · Fax (360) 923-7089
Phone(208) 241-1377
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateApril 19, 20212 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1417076209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in WA · LW61074095✔ Licensed in ID · LMSW-30202
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
856 E 1300 N, Shelley, ID 83274
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Secondary Practice Location 1

Location 1700 Lilly Rd NEOlympia, WA 98506-5115 · Phone (360) 923-7000 · Fax (360) 923-7089

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristee K. Criddle Lisw 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.

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 Kristee Criddle's NPI number?

The NPI number for Kristee Criddle is 1417076209. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Kristee Criddle located?

Kristee Criddle practices at 856 E 1300 N, Shelley, ID 83274. The listed phone number is (208) 241-1377.

What is Kristee Criddle's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kristee Criddle enrolled in Medicare?

Yes. Kristee Criddle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristee Criddle was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.