Provider Demographics
NPI:1053823245
Name:ARRINGTON, KRISTA COFFMAN (LCSW LEP)
Entity Type:Individual
Prefix:MS
First Name:KRISTA
Middle Name:COFFMAN
Last Name:ARRINGTON
Suffix:
Gender:F
Credentials:LCSW LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 OYSTER POND RD
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502-6460
Mailing Address - Country:US
Mailing Address - Phone:510-484-9082
Mailing Address - Fax:
Practice Address - Street 1:246 OYSTER POND RD
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502-6460
Practice Address - Country:US
Practice Address - Phone:510-484-9082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-29
Last Update Date:2017-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS151271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical