Kristin Anne Smith, L.S.W.
Individual provider Active NPI Social Worker · Kutztown, PA
NPI 1124373089 · NPPES record last updated Jul 17, 2012
Key facts
- NPI
- 1124373089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- SW125552 (PA)
- Practice address
- 193 Sittler Valley Rd
Kutztown, PA 19530-9063 - Phone
- (610) 442-4096
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW125552 | PA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW125552 | PA | Yes |
Addresses
Primary practice location
193 Sittler Valley Rd
Kutztown, PA 19530-9063
Mailing address
193 Sittler Valley Rd
Kutztown, PA 19530-9063
Phone (610) 442-4096
Other providers in Kutztown, PA
- Alexa Lynn Sicher
- Dillon Michael Simmons
- Katie Simms
- Rebekah Slowik
- Kayla Smith
- Olivia Lauren Smith
- Sylvia Sokol
- Sparkle Dental PC
- St Luke'S Hospital
- St. Luke'S Physician Group, Inc
All providers in Kutztown, PA · Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.