Provider Demographics
NPI:1982037453
Name:SANTEL, KRISTEN (LISW-S LLC)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:SANTEL
Suffix:
Gender:F
Credentials:LISW-S LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2724 SCIOTO STATION DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-3696
Mailing Address - Country:US
Mailing Address - Phone:614-506-7959
Mailing Address - Fax:614-443-1511
Practice Address - Street 1:1016 S HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-2567
Practice Address - Country:US
Practice Address - Phone:614-506-7959
Practice Address - Fax:614-443-1511
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0700086-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical