Provider Demographics
NPI:1922363167
Name:PAAPE, KRISTINA BILICKI (LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:BILICKI
Last Name:PAAPE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:BILICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 CLARK RD
Mailing Address - Street 2:STE 110
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8437
Mailing Address - Country:US
Mailing Address - Phone:941-677-3088
Mailing Address - Fax:941-924-7546
Practice Address - Street 1:3333 CLARK RD
Practice Address - Street 2:STE 110
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8432
Practice Address - Country:US
Practice Address - Phone:941-677-3088
Practice Address - Fax:941-921-9806
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLSW113021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health