Individual provider · NPI-1

Kristoffer Barrington, LSW

Social Worker, Clinical · Springfield, IL

NPI number1598337651
StatusActive
Last updated in NPPESJul 16, 2021

Details

NPI
1598337651
Entity type
Individual (NPI-1)
Name
Kristoffer Barrington
Credential
LSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 16, 2021
Certification date
Jul 16, 2021
Last updated
Jul 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical150104428ILYes

Practice location

2200 Lake Victoria Dr
Springfield, IL 62703-5596

Phone 312-663-1130 · Fax 312-663-0504

Mailing address

1611 E Keys Ave
Springfield, IL 62702-2935

Phone 217-801-8887

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