Provider Demographics
NPI:1023728219
Name:FIESER, KATRIN I (LSW)
Entity type:Individual
Prefix:
First Name:KATRIN
Middle Name:I
Last Name:FIESER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-1845
Mailing Address - Country:US
Mailing Address - Phone:724-261-8952
Mailing Address - Fax:
Practice Address - Street 1:212 W MARKET ST
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-2965
Practice Address - Country:US
Practice Address - Phone:717-304-2631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-29
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker