Provider Demographics
NPI:1326565425
Name:CASTEEL, CRISTEN LEE (SWT)
Entity Type:Individual
Prefix:MISS
First Name:CRISTEN
Middle Name:LEE
Last Name:CASTEEL
Suffix:
Gender:F
Credentials:SWT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9184 WHITEHEAD DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1941
Mailing Address - Country:US
Mailing Address - Phone:513-314-9951
Mailing Address - Fax:
Practice Address - Street 1:3130 SPRINGDALE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1504
Practice Address - Country:US
Practice Address - Phone:513-648-3183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.170095-TRNE104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker