Provider Demographics
NPI:1427601749
Name:KESSLER, KRISTEN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 LECONTE DR
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-5528
Mailing Address - Country:US
Mailing Address - Phone:865-313-1045
Mailing Address - Fax:
Practice Address - Street 1:825 LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37803-4857
Practice Address - Country:US
Practice Address - Phone:865-982-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN94731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical