Provider Demographics
NPI:1427856277
Name:FROST, KORALYNN (LISW)
Entity type:Individual
Prefix:
First Name:KORALYNN
Middle Name:
Last Name:FROST
Suffix:
Gender:
Credentials:LISW
Other - Prefix:MRS
Other - First Name:KORIE
Other - Middle Name:
Other - Last Name:FROST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LISW
Mailing Address - Street 1:4192 FORSYTHIA DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1606
Mailing Address - Country:US
Mailing Address - Phone:513-304-4001
Mailing Address - Fax:
Practice Address - Street 1:7108 PIPPIN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4605
Practice Address - Country:US
Practice Address - Phone:513-900-1030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.13022921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical