Provider Demographics
NPI:1033459318
Name:STRELEC, KRISTIN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:
Last Name:STRELEC
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:STRELEC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:SEAMAN & WALNUT ROADS
Mailing Address - Street 2:GRIBBIN SCHOOL GLEN COVE SCHOOL DISTRICT
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542
Mailing Address - Country:US
Mailing Address - Phone:516-801-7210
Mailing Address - Fax:516-801-7219
Practice Address - Street 1:SEAMAN & WALNUT ROADS
Practice Address - Street 2:GRIBBIN SCHOOL GLEN COVE SCHOOL DISTRICT
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542
Practice Address - Country:US
Practice Address - Phone:516-801-7210
Practice Address - Fax:516-801-7219
Is Sole Proprietor?:No
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY730748591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical