Provider Demographics
NPI:1780772855
Name:VO, KRISTEN YASUMI (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:YASUMI
Last Name:VO
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:YASUMI
Other - Last Name:NAKANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, ASW
Mailing Address - Street 1:244 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-3643
Mailing Address - Country:US
Mailing Address - Phone:860-255-4017
Mailing Address - Fax:
Practice Address - Street 1:244 MAIN ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-3643
Practice Address - Country:US
Practice Address - Phone:860-255-4017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW295641041C0700X
CT0122001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical