KRISTINE SMITH


Address: 409 N Us Route 53, Gardner, IL 60424
Phone: 8152370413

KRISTINE SMITH (NPI# 1336679455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336679455
Entity Type Individual
Full Name KRISTINE SMITH
Credential LCSW
Practice Address 409 N Us Route 53
Gardner
IL 60424
Mailing Address 725 School St Ste A
Morris
IL 60450-1207
Practice Telephone 8152370413
Practice Fax Number 8152370514
Mailing Telephone 8159419124
Mailing Fax Number 8159414363
Enumeration Date 2017-06-13
Last Update Date 2020-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 150015098 IL Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
149019565 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
237 W Waverly St, Morris, IL 604501334 8159410441
24314 South Frontage Rd West, Channahon, IL 60410 (815) 735-9566

Other Providers KRISTINE SMITH

NPI Name Taxonomy Address Enumeration
1932706892 Kristine Ellece Smith Social Worker 101 Antelope Lake Circle, Mission, SD 57555 2020-10-05
1881140622 Kristine Carol Smith Occupational Therapist 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 2016-08-31
1861896375 Kristine L Smith Marriage & Family Therapist 5125 County Road 101 Suite 300, Minnetonka, MN 55345 2014-10-13
1093054603 Kristine Colluro Smith Social Worker 791 Virginia Ave Ne, Atlanta, GA 30306-3630 2013-02-04
1548571532 Kristine M Smith Dentist 8620 S Tamiami Trl Ste A-c, Sarasota, FL 34238-3049 2010-06-24
1033431887 Kristine Louise Smith Massage Therapist 145 E Washington St Ste A, Sequim, WA 98382-4107 2010-02-22
1871725218 Kristine Barbara Smith Counselor Lamont St & Veterans Way, Johnson City, TN 37604 2009-08-19
1619503273 Kristine Smith Licensed Vocational Nurse 9846 Hwy 31 E, Tyler, TX 75705-2329 2020-03-16
1356990824 Kristine Smith Occupational Therapist 6767 S Spruce St Ste 100, Centennial, CO 80112-6118 2019-09-08
1740721810 Kristine Anne Smith Otolaryngology 50 N Medical Dr, Otolaryngology/ent, Clinic 9, Salt Lake City, UT 84132 2017-03-09

Office Location

Street Address 409 N US ROUTE 53
City GARDNER
State IL
Zip Code 60424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619219110 Kathleen Ann Ulivi Nurse Practitioner 409 N Us Route 53, Gardner, IL 60424 2013-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578072666 Diana L Clifford Behavioral Analyst 317 N East St, Gardner, IL 60424 2017-09-21
1689748139 Gardner Volunteer Fire Department Ambulance 206 Depot Street, Gardner, IL 60424 2006-11-17
1700967700 Melinda Sue Mounts Pharmacy Technician 122 Depot St, Gardner, IL 60424 2006-10-17
1154418499 Gardner Pharmacy Inc Pharmacy 122 Depot, Gardner, IL 60424 2006-10-06
1518160704 Gardner S Wilmington Ths Dist 73 Local Education Agency (LEA) 500 East Main St, Gardner, IL 60424 2007-06-06
1598852832 Curt Paul Trizzino Pharmacist 122 Depot, Gardner, IL 60424 2006-10-06
1336410661 Gardner Fire Protection District Ambulance 206 Depot St, Gardner, IL 60424-0181 2012-01-18
1477683894 Richard Michael Neu Dentist 409 N. Route 53, Gardner, IL 60424-0327 2007-03-06
1750520896 Renee Moore Speech-Language Pathologist 6110 E Main Rd, Gardner, IL 60424-6146 2009-02-12
1467563577 Sharon K. Pickles Contractor 302 S Center St, Gardner, IL 60424-6176 2006-08-31
Find all providers in zip 60424

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114329331 Rachel Lopez Social Worker 20 Foster Ct, Gardner, MA 01440-4242 2014-09-18
1811243926 Brianne Phillips Social Worker 825 N Sumac St, Gardner, KS 66030-2211 2012-07-25
1295024511 Nancy Metra Brooks Social Worker 116 Stone St, Gardner, MA 01440-1142 2011-04-07
1508010208 Jessica Goodfield Social Worker 235 Green St, Gardner, MA 01440-1349 2008-11-07
1184792335 Jill Kathleen Masure Social Worker 30 Crawford St, Gardner, MA 01440 2006-12-04
1821190844 Joyce Shapiro-ellowitz Social Worker 486 Chestnut Street, Gardner, MA 01440 2006-09-01
1972110716 Kathleen A Flateau Social Worker 205 School St Ste 301, Gardner, MA 01440-2781 2020-09-25
1811516305 Lucy K Delrossi Social Worker 205 School St, Gardner, MA 01440-2781 2020-04-14
1720445406 Melanie M Barber Social Worker 31 Lake St, Gardner, MA 01440-3879 2016-01-26
1821464793 Scott Stevens Folsom Social Worker 205 School St Ste 202, Gardner, MA 01440-2781 2015-08-14
Find all providers in GARDNER

Competitor

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City GARDNER
Zip Code 60424

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Dataset Information

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.

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