Provider Demographics
NPI:1053536870
Name:PLASKETT, KRISTY LYNN (MSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:LYNN
Last Name:PLASKETT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:KRISTY
Other - Middle Name:LYNN
Other - Last Name:TANNAHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BASW
Mailing Address - Street 1:4800 KOKOMO DR
Mailing Address - Street 2:APT. 5020
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1820
Mailing Address - Country:US
Mailing Address - Phone:707-480-4236
Mailing Address - Fax:
Practice Address - Street 1:3000 AUBURN BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-1831
Practice Address - Country:US
Practice Address - Phone:916-483-2154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical