Provider Demographics
NPI:1326639618
Name:HOATS, KRISTIN (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:HOATS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 CORNFIELD WAY APT 302
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-7234
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2403
Practice Address - Country:US
Practice Address - Phone:724-302-0804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2022-12-13
Deactivation Date:2021-04-19
Deactivation Code:
Reactivation Date:2022-12-09
Provider Licenses
StateLicense IDTaxonomies
PASW137734104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker