Provider Demographics
NPI:1831368877
Name:SHULER, KRISTEN ANN-LYNNETTE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:ANN-LYNNETTE
Last Name:SHULER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:ANN-LYNETTE
Other - Last Name:PAULSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TLMSW
Mailing Address - Street 1:1932 E SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-3259
Mailing Address - Country:US
Mailing Address - Phone:785-766-8114
Mailing Address - Fax:
Practice Address - Street 1:1932 E SUNSET DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-3259
Practice Address - Country:US
Practice Address - Phone:785-766-8114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-LMSW 7201104100000X
MO20160370011041C0700X
MO20210471601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490074353Medicaid
14479909OtherCAQH