Provider Demographics
NPI:1164115341
Name:KIRSCHNER, KELSEY (MSW)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7126 58TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-8884
Mailing Address - Country:US
Mailing Address - Phone:786-920-4674
Mailing Address - Fax:
Practice Address - Street 1:305 S LUCILE ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2435
Practice Address - Country:US
Practice Address - Phone:786-920-4674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker