Healthcare Provider Details

I. General information

NPI: 1588047302
Provider Name (Legal Business Name): KRISTINE HOESTERMANN MSW,LICSW, LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTINE A MAIER LCSW, LICSW

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 S 3RD ST APT 618
EASTON PA
18042-4583
US

IV. Provider business mailing address

27 S 3RD ST APT 618
EASTON PA
18042-4583
US

V. Phone/Fax

Practice location:
  • Phone: 845-418-8150
  • Fax:
Mailing address:
  • Phone: 845-418-8150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904017976
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC50080167
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: