Kristin Rene Kantner, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

85860 Issued in CA

Practice address

201 9TH St
Marina, CA 93933-6039

Phone

(831) 884-1131

NPI assigned

Aug 22, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1346674645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 9TH ST",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939336039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 9TH ST",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939336039",
            "telephone_number": "831-884-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 Dormont Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152161804",
            "country_code": "US",
            "telephone_number": "717-514-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANTNER",
        "first_name": "KRISTIN",
        "middle_name": "RENE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129778",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018554",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "85860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa L Jones, L.C.S.W.
• Daniel Juarez, BS, RBT
• Dasy Nallely Juarez
• Courtney Jundt
• Brenton Mikito Micah Kanno
• Mohammad Karisli
• Michelle Faie Katuala
• Harleen Kaur
• Kathleen Keilman
• Pamela Keindl, RN

• Clinical Social Worker in Marina, CA
• Providers in Marina, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.