Provider Demographics
NPI:1356561302
Name:KRITSBERG, MARIANNA L (MSW)
Entity type:Individual
Prefix:MS
First Name:MARIANNA
Middle Name:L
Last Name:KRITSBERG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 MEADOW OAK LN
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-1720
Mailing Address - Country:US
Mailing Address - Phone:206-226-0079
Mailing Address - Fax:
Practice Address - Street 1:6451 126TH AVE
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-1866
Practice Address - Country:US
Practice Address - Phone:727-456-0600
Practice Address - Fax:727-456-0639
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker