Provider Demographics
NPI:1427006642
Name:KRONK, ANDREW (MSW)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:KRONK
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:KRONK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:93 COACH RD
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-3237
Mailing Address - Country:US
Mailing Address - Phone:860-659-2361
Mailing Address - Fax:
Practice Address - Street 1:71 HAYNES ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4131
Practice Address - Country:US
Practice Address - Phone:860-646-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0001121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical