Provider Demographics
NPI:1710769286
Name:LINGO, KRISTA-GAY (LCSW)
Entity type:Individual
Prefix:
First Name:KRISTA-GAY
Middle Name:
Last Name:LINGO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 ROCKHILL RD
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-5325
Mailing Address - Country:US
Mailing Address - Phone:214-814-4804
Mailing Address - Fax:
Practice Address - Street 1:1703 ROCKHILL RD APT 4206
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1413
Practice Address - Country:US
Practice Address - Phone:214-814-4804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107675104100000X
NY0978021041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker