Provider Demographics
NPI:1881251296
Name:KILROY, KIRSTEN BRIDGET (LICSW)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:BRIDGET
Last Name:KILROY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:KIRSTEN
Other - Middle Name:BRIDGET
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:587 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-4351
Mailing Address - Country:US
Mailing Address - Phone:603-624-4717
Mailing Address - Fax:
Practice Address - Street 1:587 MAPLE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-4351
Practice Address - Country:US
Practice Address - Phone:603-624-4717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical