MS. KRISTIN LEIGH KOETJE (NPI# 1437355799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437355799 |
| Entity Type | Individual |
| Full Name | MS. KRISTIN LEIGH KOETJE |
| Credential | LCSW |
| Practice Address |
310 Rue De La Lavanda Sparks NV 89434 |
| Practice Telephone | 7755027433 |
| Practice Fax Number | 8132891091 |
| Mailing Telephone | 7755027433 |
| Mailing Fax Number | 8633149786 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
7907-C | NV | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW7601 | FL | Behavioral Health & Social Service Providers |
| Street Address |
310 RUE DE LA LAVANDA |
| City | SPARKS |
| State | NV |
| Zip Code | 89434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992210 | Erin Heffelfinger | Rehabilitation Practitioner | 550 Marina Gateway Dr, Apt 1432, Sparks, NV 89434 | 2020-08-10 |
| 1568009892 | Daniel Wesley Jacobson | Home Health Aide | 800 Nichols Bldv #222, Sparks, NV 89434 | 2019-12-05 |
| 1437649688 | Barbara M Robinson | Home Health Aide | 1963 E. Prayer Way, Sparks, NV 89434 | 2018-05-14 |
| 1851788277 | P6 Family Services LLC | Case Management | 2200 North D'andrea Pkwy #2411, Sparks, NV 89434 | 2015-04-23 |
| 1700188430 | Etxea Services | Community/Behavioral Health | 741 Rancho Villa Drive, Sparks, NV 89434 | 2010-12-01 |
| 1194970640 | Steven Joel Madison | Registered Nurse | 1999 Mania Court, Sparks, NV 89434 | 2008-11-25 |
| 1730342155 | Raymond Miranda Duro | Pharmacist | 2375 East Prater Way Sparks, Sparks, NV 89434 | 2008-07-07 |
| 1124293436 | Steve D Smith | Hearing Instrument Specialist | 1450 E Prater Way Ste 111, Sparks, NV 89434 | 2008-04-28 |
| 1063549582 | Urology Institute | Urology | 2385 E Prater Way Suite 112, Sparks, NV 89434 | 2007-02-28 |
| 1558440016 | James Andrew Craner | Internal Medicine | 1441 Pullman Drive, Sparks, NV 89434 | 2006-11-03 |
| Find all providers in zip 89434 | ||||
| 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 |
|---|---|---|---|---|
| 1184180028 | Molly Esworthy | Social Worker | 13 Old Forge Garth, Sparks, MD 21152-8801 | 2019-02-15 |
| 1700390333 | Sarah Aleene Kinsey | Social Worker | 10 N Tropicana Cir, Sparks, NV 89436-6636 | 2017-11-17 |
| 1124376082 | Constance Evette Hightower | Social Worker | 2636 Chaucer St, Sparks, NV 89436-6492 | 2012-08-27 |
| 1033474481 | Allie Nicole Metoyer | Social Worker | 1034 Floral Ridge Way, Sparks, NV 89436-6352 | 2012-07-11 |
| 1447525696 | Elizabeth Mary Harring | Social Worker | 15623 York Rd, Sparks, MD 21152-9687 | 2012-03-20 |
| 1205132388 | Yeeymmy Patricia Giron | Social Worker | 438 Pyramid Way, Sparks, NV 89431-5053 | 2011-02-07 |
| 1851543466 | Debvorah Ramona Giorgi | Social Worker | 390 Freeport Blvd Ste 3, Sparks, NV 89431-6259 | 2008-10-14 |
| 1003062027 | Angela Michelle Charter | Social Worker | 2290 Matteoni Dr, Sparks, NV 89434-3483 | 2008-08-10 |
| 1750552584 | Mavis Major | Social Worker | 7250 Lacerta Dr, Sparks, NV 89436-6114 | 2008-03-19 |
| 1992983852 | Sharon M Willans | Social Worker | 2261 Pyramid Way Ste 5, Sparks, NV 89431-2160 | 2008-02-03 |
| Find all providers in SPARKS | ||||
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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.