Provider Demographics
NPI:1053486308
Name:ARMSTRONG, KRISTIN K (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:K
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 NORTH SECOND STREET
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174
Mailing Address - Country:US
Mailing Address - Phone:630-587-8999
Mailing Address - Fax:630-377-0886
Practice Address - Street 1:311 NORTH SECOND STREET
Practice Address - Street 2:SUITE 304
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174
Practice Address - Country:US
Practice Address - Phone:630-587-8999
Practice Address - Fax:630-377-0886
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical