Provider Demographics
NPI:1396154811
Name:GARR, KRISTIE LYNN (LMSW, CSW-INTERN)
Entity type:Individual
Prefix:MISS
First Name:KRISTIE
Middle Name:LYNN
Last Name:GARR
Suffix:
Gender:F
Credentials:LMSW, CSW-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 PRIMTON WAY
Mailing Address - Street 2:
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408-8593
Mailing Address - Country:US
Mailing Address - Phone:775-980-5272
Mailing Address - Fax:
Practice Address - Street 1:430 STOKER AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-5065
Practice Address - Country:US
Practice Address - Phone:775-980-5272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIC-26751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical