KRISTIN L MOULTINE (NPI# 1821350299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821350299 |
| Entity Type | Individual |
| Full Name | KRISTIN L MOULTINE |
| Credential | LCSW |
| Practice Address |
2901 Bridgeport Way W University Place WA 98466-4614 |
| Practice Telephone | 2535347000 |
| Practice Fax Number | 2535347099 |
| Mailing Telephone | 2535347000 |
| Mailing Fax Number | 2535347099 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60061570 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CRIME VICTIMS | 8952613 | 01 |
| WA | CRIME VICTIMS | 8952612 | 01 |
| Street Address |
2901 BRIDGEPORT WAY W |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98466-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043203185 | Linda Gay Lepape | Registered Nurse | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2005-08-24 |
| 1134604242 | Elizabeth Horton | Nurse Practitioner | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2018-09-25 |
| 1205350592 | Christina Sandra Hummes | Nurse Practitioner | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2017-07-28 |
| 1033591235 | Chantel Yuong | Nurse Practitioner | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2015-06-24 |
| 1972919249 | Chi National Home Care | Home Health | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2014-07-08 |
| 1205256336 | Bethany Christine Fowler | Internal Medicine | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2014-04-16 |
| 1740610823 | Elaine Karen Byram | Nurse Practitioner | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2013-11-26 |
| 1629317102 | Lisa Frank | Pharmacist | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2013-02-04 |
| 1942563085 | Karen Teresa Christopherson | Pharmacist | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2012-06-22 |
| 1699038059 | Helen Lu | Pharmacist | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| 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 |
|---|---|---|---|---|
| 1427673045 | Mary E. Moran | Social Worker | 6714 Twin Hills Dr W, University Place, WA 98467-2120 | 2020-06-09 |
| 1043619711 | Kevin Darrow Brown | Social Worker | 4113 Bridgeport Way W Ste C1, University Place, WA 98466-4325 | 2014-08-19 |
| 1386050581 | Jeanglee Tracer | Social Worker | 1905 Bridgeport Way W Ste 200, University Place, WA 98466-4846 | 2014-07-08 |
| 1790093227 | Daniel Paul Grey | Social Worker | 6523 55th Street Ct W, University Place, WA 98467-2968 | 2010-09-17 |
| 1275783367 | Jenifer Gregory | Social Worker | 8003 40th St W, University Place, WA 98466-3120 | 2008-09-24 |
| 1366690406 | Maria Theresa Carrington | Social Worker | 3318 Bridgeport Way W Ste C, University Place, WA 98466-7854 | 2008-09-03 |
| 1285795864 | (delores) 'lynne' Martins | Social Worker | 1919 70th Ave W, Suite D, University Place, WA 98466-5541 | 2006-12-13 |
| 1245749795 | Cassandra Garcia Uribe | Social Worker | 3318 Bridgeport Way W Ste C1, University Place, WA 98466-4598 | 2017-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427715 | Jerald Rodman | Social Worker | 2565 Kristine Ct, Centralia, WA 98531-8808 | 2020-11-02 |
| 1811597826 | Leika Baquiran | Social Worker | 33301 1st Way S # C-140, Federal Way, WA 98003-6252 | 2020-10-28 |
| 1093315228 | Yaffa Cohen | Social Worker | 4574 187th Pl Se, Issaquah, WA 98027-9731 | 2020-10-27 |
| 1063011609 | Caroline A Lanza | Social Worker | 13035 39th Ave Ne, Seattle, WA 98125-4613 | 2020-10-24 |
| 1740888338 | Susan Lee Garrett-jones | Social Worker | 30517 7th Ave. Ne, Stanwood, WA 98292-9665 | 2020-10-15 |
| 1730787540 | Regina Yeh | Social Worker | 5011b 44th Ave Ne, Seattle, WA 98105-2909 | 2020-10-14 |
| 1144827551 | Heidi Elizabeth Hartz | Social Worker | 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 | 2020-10-08 |
| 1730786252 | Alexandra Elias Sharman | Social Worker | 5735 91st Ave Se, Mercer Island, WA 98040-5032 | 2020-10-07 |
| 1639786262 | Charina Carothers | Social Worker | 631 S Richard Allen Ct Ste 104, Spokane, WA 99202-2345 | 2020-09-28 |
| 1700493806 | Alisa M Mattiazzi | Social Worker | 10006 100th Ave Sw, Lakewood, WA 98498-3124 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98466 |
Please comment or provide details below to improve the information on KRISTIN L MOULTINE.
| 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.