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MARY ANDREA KISHLINE MSW
NPI 1316013030
Counselor in Kenosha, WI

Active since November 27, 2006
3734 7TH AVE, SUITE 24, KENOSHA, WI 53140(262) 654-0487(262) 654-2434 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Andrea Kishline Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANDREA KISHLINE MSW (NPI 1316013030) is an individual counselor in Kenosha, Wisconsin, licensed in Wisconsin (3427123) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1316013030
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARY ANDREA KISHLINECredential: MSW
Location Address3734 7TH AVE, SUITE 24Kenosha, WI 53140
Mailing Address3734 7th Ave, Suite 24Kenosha, WI 53140 · (262) 654-0487 · Fax (262) 654-2434
Phone(262) 654-0487
Fax(262) 654-2434
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316013030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 3427123
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3734 7TH AVE, Kenosha, WI 53140
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Other Identifiers 1

Medicare ID-Type Unspecified8477010008

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEILANE U STA ROMANA MDSC
Internal Medicine
3734 7TH AVE, DOMINICAN BUILDING SUITE 15
KENOSHA, WI 53140
Kenosha County (262) 658-3706
KATHRYN ANN AALTO LCSW
Social Worker (Clinical)
3734 7TH AVE, SUITE 12
KENOSHA, WI 53140
Kenosha County (262) 654-9370
MR. MICHAEL A DEFAZIO MSSW LICSW CADC III
Social Worker
3734 7TH AVE, STE 24
KENOSHA, WI 53140
Kenosha County (262) 654-0487
ERNESTO BUENCAMINO MD SC
Internal Medicine
3734 7TH AVE, SUITE 11
KENOSHA, WI 53140
Kenosha County (262) 658-1678
MS. CORRIE RUTH LEE MSW, LCSW, SAC
Counselor (Addiction (Substance Use Disorder))
3734 7TH AVE, SUITE 24
KENOSHA, WI 53140
Kenosha County (262) 654-0487
LISA M DEFAZIO M.S.W., L.C.S.W.
Social Worker (Clinical)
3734 7TH AVE, SUITE 24
KENOSHA, WI 53140
Kenosha County (262) 654-0487
VICKI L BARTOW MSW
Social Worker (Clinical)
3734 7TH AVE, SUITE 12
KENOSHA, WI 53140
Kenosha County (262) 654-9370
PRADEEP G. KUMAR MD INC
Clinic/Center (Primary Care)
3734 7TH AVE, SUITE 1
KENOSHA, WI 53140
Kenosha County (262) 654-0226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Andrea Kishline's NPI number?

The NPI number for Mary Andrea Kishline is 1316013030. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Mary Andrea Kishline located?

Mary Andrea Kishline practices at 3734 7th Ave Suite 24, Kenosha, WI 53140. The listed phone number is (262) 654-0487.

What is Mary Andrea Kishline's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mary Andrea Kishline was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.