Provider Demographics
NPI:1831744895
Name:MARSCH, KRISTINA MARY (LSW)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:MARY
Last Name:MARSCH
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:MARY
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3765 OLD BUTLER RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-9069
Mailing Address - Country:US
Mailing Address - Phone:602-677-7587
Mailing Address - Fax:
Practice Address - Street 1:353 N DUFFY RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1138
Practice Address - Country:US
Practice Address - Phone:878-271-6020
Practice Address - Fax:878-271-6253
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136461104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker