Provider Demographics
NPI:1427228717
Name:KRINARD, COLLEEN M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:M
Last Name:KRINARD
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:PO BOX 442
Mailing Address - Street 2:
Mailing Address - City:REEDSPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97467-0442
Mailing Address - Country:US
Mailing Address - Phone:541-707-7852
Mailing Address - Fax:
Practice Address - Street 1:624 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:REEDSPORT
Practice Address - State:OR
Practice Address - Zip Code:97467-1526
Practice Address - Country:US
Practice Address - Phone:541-707-7852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS#189391041C0700X
NMI-075121041C0700X
OR106051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical