Provider Demographics
NPI:1447491246
Name:SIEGLER, KIRSTIN LEACH (LCSW)
Entity type:Individual
Prefix:
First Name:KIRSTIN
Middle Name:LEACH
Last Name:SIEGLER
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 1:2330 W ARMITAGE AVE
Mailing Address - Street 2:UNIT G
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-4359
Mailing Address - Country:US
Mailing Address - Phone:773-910-6622
Mailing Address - Fax:
Practice Address - Street 1:2330 W ARMITAGE AVE
Practice Address - Street 2:UNIT G
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-4359
Practice Address - Country:US
Practice Address - Phone:773-910-6622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical