Provider Demographics
NPI:1326075334
Name:KINSTLINGER, AMY SNELL (LISW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:SNELL
Last Name:KINSTLINGER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5251 CHESWICK DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-1273
Mailing Address - Country:US
Mailing Address - Phone:216-321-3611
Mailing Address - Fax:216-321-0021
Practice Address - Street 1:2490 LEE BLVD., #204
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-1269
Practice Address - Country:US
Practice Address - Phone:216-321-3611
Practice Address - Fax:216-321-0021
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00040021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHKISW12741Medicare ID - Type UnspecifiedID WITH FORMER EMPLOYER