Provider Demographics
NPI:1649311077
Name:PAULIG, KRISTIN KATHRYN (LCSW, DCSW)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:KATHRYN
Last Name:PAULIG
Suffix:
Gender:F
Credentials:LCSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ALBEMARLE ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2006
Mailing Address - Country:US
Mailing Address - Phone:919-220-7044
Mailing Address - Fax:
Practice Address - Street 1:201 ALBEMARLE ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2006
Practice Address - Country:US
Practice Address - Phone:919-220-7044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0028921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC60-02036Medicaid
NC1089EMedicare UPIN