Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Ashlie Staten Hall, LCSW

Individual provider Clinical Social Worker · NPI 1073078705

Kristin Ashlie Staten Hall, LCSW is a Clinical Social Worker in Willmar, Minnesota. Qualified in 2013, 13 years ago. Practices with Woodland Centers, a 39-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1125 6th St SE
Willmar, MN 56201-4675
Phone: (320) 235-4613
Fax: (855) 625-7406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7343 Saint Thomas Loop, Manassas, VA 20109-7116 — (931) 607-0151
  • 7730 Donegan Dr, Manassas, VA 20109-2868 — (571) 208-0592

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904010776 (VA)

Record details

NPI number1073078705
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 6, 2019
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Woodland Centers — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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