Provider Demographics
NPI:1437618113
Name:CARMICHAEL, KIRSTIE ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:KIRSTIE
Middle Name:ANNE
Last Name:CARMICHAEL
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 1:29749 MERIDIAN HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3450
Mailing Address - Country:US
Mailing Address - Phone:210-430-5963
Mailing Address - Fax:
Practice Address - Street 1:29749 MERIDIAN HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-3450
Practice Address - Country:US
Practice Address - Phone:210-430-5963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-13
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX572601041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical