Provider Demographics
NPI:1689998866
Name:MCGUINNESS, KRISTIN L (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:L
Last Name:MCGUINNESS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:L
Other - Last Name:ZEISLOFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12310 NE 203RD ST
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-7659
Mailing Address - Country:US
Mailing Address - Phone:314-413-0384
Mailing Address - Fax:
Practice Address - Street 1:12310 NE 203RD ST
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-7659
Practice Address - Country:US
Practice Address - Phone:314-413-0384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020170391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical