Provider Demographics
NPI:1114167251
Name:OSINSKI-KING, KRYSTYNA MARY (LCSW, LISW)
Entity Type:Individual
Prefix:MRS
First Name:KRYSTYNA
Middle Name:MARY
Last Name:OSINSKI-KING
Suffix:
Gender:F
Credentials:LCSW, LISW
Other - Prefix:MRS
Other - First Name:KRYSTYNA
Other - Middle Name:MARY
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, LISW
Mailing Address - Street 1:4100 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45428-9000
Mailing Address - Country:US
Mailing Address - Phone:937-268-6511
Mailing Address - Fax:
Practice Address - Street 1:4100 W 3RD ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45428
Practice Address - Country:US
Practice Address - Phone:937-268-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK26231041C0700X
OHI.11000171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical