Provider Demographics
NPI:1003575168
Name:CONTE, KRISTEN MAE (LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MAE
Last Name:CONTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MAE
Other - Middle Name:
Other - Last Name:CONTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 16932
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28816-0932
Mailing Address - Country:US
Mailing Address - Phone:828-595-3852
Mailing Address - Fax:
Practice Address - Street 1:111 WICKLOW DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2131
Practice Address - Country:US
Practice Address - Phone:828-595-3852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0112371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical