Provider Demographics
NPI:1083627327
Name:BARD, KRISTA J (CSW)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:J
Last Name:BARD
Suffix:
Gender:
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 EASTERN AVE STE 135
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:17225-1195
Mailing Address - Country:US
Mailing Address - Phone:717-597-0095
Mailing Address - Fax:717-597-3147
Practice Address - Street 1:50 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-1100
Practice Address - Country:US
Practice Address - Phone:717-597-0095
Practice Address - Fax:717-597-3147
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0145771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical