Provider Demographics
NPI:1548821465
Name:KINGTON, LAURA ELIZABETH (MSW, LSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELIZABETH
Last Name:KINGTON
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17133 TRUETOWN RD
Mailing Address - Street 2:
Mailing Address - City:MILLFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45761-9773
Mailing Address - Country:US
Mailing Address - Phone:614-546-7858
Mailing Address - Fax:
Practice Address - Street 1:8 W STIMSON AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2647
Practice Address - Country:US
Practice Address - Phone:740-331-4165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator