Provider Demographics
NPI:1841303047
Name:KINDEL, KAREN SUE (LISW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:KINDEL
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:MUNROE FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44262-0247
Mailing Address - Country:US
Mailing Address - Phone:330-475-0060
Mailing Address - Fax:330-475-0066
Practice Address - Street 1:10 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MUNROE FALLS
Practice Address - State:OH
Practice Address - Zip Code:44262-1063
Practice Address - Country:US
Practice Address - Phone:330-475-0060
Practice Address - Fax:330-475-0066
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00057991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical