Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristina Noel Callender, LICSW

Individual provider Clinical Social Worker · NPI 1083910590

Kristina Noel Callender, LICSW is a Clinical Social Worker in Lacey, Washington. Graduated from Fordham University School of Medicine in 2005, 21 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
21
Trained at
Fordham University School of Medicine
Licensed in
WA
In the registry since
2011
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

677 Woodland Square Loop SE Unit A-16
Lacey, WA 98503-1000
Phone: (360) 999-8467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60188778 (WA)

Record details

NPI number1083910590
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 31, 2011
Last updated in NPPESMay 21, 2023
Certification dateMay 21, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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