Provider Demographics
NPI:1386152817
Name:KATHRYN L. STREIFF, MSW, LISW, LLC
Entity type:Organization
Organization Name:KATHRYN L. STREIFF, MSW, LISW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:LINDSLEY
Authorized Official - Last Name:STREIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LISW
Authorized Official - Phone:513-393-7710
Mailing Address - Street 1:1131 CENTRAL AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-4006
Mailing Address - Country:US
Mailing Address - Phone:513-393-7710
Mailing Address - Fax:
Practice Address - Street 1:1131 CENTRAL AVE STE 204
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-4006
Practice Address - Country:US
Practice Address - Phone:513-393-7710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty