Provider Demographics
NPI:1508848797
Name:KRINGS, PAULA MARIE (LISW)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:MARIE
Last Name:KRINGS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4403 1ST AVE SE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3200
Mailing Address - Country:US
Mailing Address - Phone:319-362-0632
Mailing Address - Fax:319-362-5206
Practice Address - Street 1:4403 1ST AVE SE
Practice Address - Street 2:SUITE 309
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3200
Practice Address - Country:US
Practice Address - Phone:319-362-0632
Practice Address - Fax:319-362-5206
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA011901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA200325714Medicaid
IA200325714Medicaid