Provider Demographics
NPI:1700805009
Name:CRONE, KIMBERLY FLECK (LSW)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:FLECK
Last Name:CRONE
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 1:31 GRAND PKWY N
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-2566
Mailing Address - Country:US
Mailing Address - Phone:717-248-4280
Mailing Address - Fax:
Practice Address - Street 1:24 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1745
Practice Address - Country:US
Practice Address - Phone:717-242-3070
Practice Address - Fax:717-248-4424
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW007343L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker