Provider Demographics
NPI:1982002465
Name:HORTON, KRISTIN LINDSEY (LMSW)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LINDSEY
Last Name:HORTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:LINDSEY
Other - Last Name:COONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2367 TERRAPIN XING
Mailing Address - Street 2:
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-9830
Mailing Address - Country:US
Mailing Address - Phone:719-440-6813
Mailing Address - Fax:
Practice Address - Street 1:4860 S PALMER RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-2644
Practice Address - Country:US
Practice Address - Phone:301-400-2443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12861104100000X
OK4915104100000X
KS9776104100000X
KS48411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker