Provider Demographics
NPI:1235769803
Name:CRONE, KALISHA (LCSW)
Entity Type:Individual
Prefix:
First Name:KALISHA
Middle Name:
Last Name:CRONE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KALISHA
Other - Middle Name:
Other - Last Name:RECORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5318 E 2ND ST # 1041
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-5324
Mailing Address - Country:US
Mailing Address - Phone:562-582-8892
Mailing Address - Fax:
Practice Address - Street 1:1100 TOWN AND COUNTRY RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:562-582-8892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-22
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA934921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical