Provider Demographics
NPI:1255415816
Name:MCGEE, KRISTEN ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:ANN
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:ANN
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 N ELM
Mailing Address - Street 2:STE #203B
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4175
Mailing Address - Country:US
Mailing Address - Phone:940-367-7791
Mailing Address - Fax:940-566-5366
Practice Address - Street 1:101 N ELM
Practice Address - Street 2:STE #203B
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4175
Practice Address - Country:US
Practice Address - Phone:940-367-7791
Practice Address - Fax:940-566-5366
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX285191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
B0073071Medicare UPIN