Healthcare Provider Details

I. General information

NPI: 1043599491
Provider Name (Legal Business Name): KRISTINA CASE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 N HYLAND ST
SCOTTSBURG IN
47170-1259
US

IV. Provider business mailing address

49 N HYLAND ST
SCOTTSBURG IN
47170-1259
US

V. Phone/Fax

Practice location:
  • Phone: 812-752-8922
  • Fax: 812-752-9620
Mailing address:
  • Phone: 812-752-8922
  • Fax: 812-752-9620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34009390A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: