Provider Demographics
NPI:1982951604
Name:STARON-LA CAGNINA, KRISTEN DENISE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:DENISE
Last Name:STARON-LA CAGNINA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:DENISE
Other - Last Name:STARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3926 MEADOWLARK CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-5531
Mailing Address - Country:US
Mailing Address - Phone:813-785-3820
Mailing Address - Fax:
Practice Address - Street 1:3926 MEADOWLARK CT
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-5531
Practice Address - Country:US
Practice Address - Phone:813-785-3820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical