KRISTIAN GALLEGOS (NPI# 1073975397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073975397 |
| Entity Type | Individual |
| Full Name | KRISTIAN GALLEGOS |
| Practice Address |
829 Chief Eddie Hoffman Bethel AK 99559 |
| Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
| Practice Telephone | 9075436100 |
| Practice Fax Number | 9075436159 |
| Mailing Telephone | 9075436100 |
| Mailing Fax Number | 9075436159 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
147386 | AK | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Q1-0001606 | DE | Behavioral Health & Social Service Providers |
| Street Address |
829 CHIEF EDDIE HOFFMAN |
| City | BETHEL |
| State | AK |
| Zip Code | 99559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437371085 | Barbara Modigh | Social Worker | 829 Chief Eddie Hoffman, Bethel, AK 99559 | 2007-05-03 |
| 1356957013 | Kayla Annie Boots | Community Health Worker | 829 Chief Eddie Hoffman, Suite 150, Bethel, AK 99559-0528 | 2020-09-18 |
| 1861825887 | Olivia C Moses | Counselor | 829 Chief Eddie Hoffman, Bethel, AK 99559 | 2013-08-13 |
| 1639510860 | Bethel Uchenna Adiele | Social Worker | 829 Chief Eddie Hoffman, Bethel, AK 99559-0528 | 2013-07-16 |
| 1922346063 | Delores J Askoak | Community Health Worker | 829 Chief Eddie Hoffman, Suite 150, Bethel, AK 99559-0528 | 2013-01-24 |
| 1235477365 | Diane M Mceachern | Social Worker | 829 Chief Eddie Hoffman, Bethel, AK 99559 | 2013-01-24 |
| 1194063362 | Marita Pauline Nash | Counselor | 829 Chief Eddie Hoffman, Bethel, AK 99559 | 2013-01-23 |
| 1669725362 | Leila Jocelyn Smith | Counselor | 829 Chief Eddie Hoffman, Bethel, AK 99559 | 2012-10-18 |
| 1033446109 | Linda Lee Evans | Counselor | 829 Chief Eddie Hoffman, Bethel, AK 99559-0528 | 2009-11-11 |
| 1649492216 | Richard Robb | Counselor | 829 Chief Eddie Hoffman, Suite 327, Bethel, AK 99559 | 2007-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| Find all providers in zip 99559 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240846 | Brooke Morris | Social Worker | 1102 Lexington Blvd, Bethel, CT 06801-1347 | 2020-09-18 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1881175198 | Kathleen Anne Christie | Social Worker | 2174 State Route 17b, Bethel, NY 12720-5511 | 2018-08-24 |
| 1023523453 | Joshua Aaron Goldstein | Social Worker | 829 Chierf Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2017-12-07 |
| 1174050702 | Daniel Canio Pace | Social Worker | 153 Greenwood Ave Unit 5b, Bethel, CT 06801-2559 | 2017-05-14 |
| 1093241556 | Shkreli Psychotherapy, LLC | Social Worker | 158 Greenwood Ave, Bethel, CT 06801-2530 | 2017-05-03 |
| 1093943458 | Paulette Williams | Social Worker | 5016 Noel Polty Blvd, Bethel, AK 99559-1029 | 2009-06-24 |
| 1043447618 | Kirk R Mcclelland | Social Worker | 196 Walkers Mills Road, Bethel, ME 04217 | 2009-06-22 |
| 1093925406 | Joan P. Dewey | Social Worker | #23 Trailer Park, Airport Road, Bethel, AK 99559-2287 | 2007-05-23 |
| 1003037276 | Ora Lew Lowery | Social Worker | 829 Chief Eddy Hoffman Hwy, Bethel, AK 99559 | 2007-05-02 |
| Find all providers in BETHEL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.