Provider Demographics
NPI:1255852778
Name:KIOSKE, STEVIE NICOLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:STEVIE
Middle Name:NICOLE
Last Name:KIOSKE
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 1:107 COLONIAL DR APT E
Mailing Address - Street 2:
Mailing Address - City:SHILLINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19607-2889
Mailing Address - Country:US
Mailing Address - Phone:610-607-4089
Mailing Address - Fax:
Practice Address - Street 1:160 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1948
Practice Address - Country:US
Practice Address - Phone:610-841-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0218221041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical