KRISTEE K. CRIDDLE LISW
NPI 1417076209
Social Worker in Shelley, ID
- Individual
- Female
- Social Worker
- PECOS Enrolled
About KRISTEE CRIDDLE
This page provides the complete NPI Profile along with additional information for Kristee Criddle, a provider established in Shelley, Idaho with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1417076209 assigned on March 2007. The practitioner's primary taxonomy code is 104100000X with license number LW61074095 (WA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1417076209 Verify this NPI
- Provider Name
- KRISTEE K. CRIDDLE LISW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 856 E 1300 N SHELLEY, ID 83274
- Location Phone
- (208) 241-1377
- Mailing Address
- 700 LILLY RD NE OLYMPIA, WA 98506
- Mailing Phone
- (360) 923-7000
- Mailing Fax
- (360) 923-7089
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-29-2007
- Last Update Date
- 04-19-2021
- Code Navigator
A social worker like Kristee Criddle helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Secondary Locations
- 700 Lilly Rd NE
Olympia, WA 98506
(360) 923-7000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LW61074095
- License State
- WA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | LMSW-30202 (ID) |
Medicare Participation & PECOS Enrollment Status
Kristee Criddle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417076209, enumerated as an "individual" on March 29, 2007.
The provider is located at 856 E 1300 N SHELLEY, ID 83274 and the phone number is (208) 241-1377.
Social Worker with taxonomy code 104100000X.
