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KRISTINE PROCTOR LLC NPI 1861838203


NPI Information

NPI: 1861838203
Provider Name: KRISTINE PROCTOR, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
3408 NILES RD
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 405-0653
Get Directions

KRISTINE PROCTOR, LLC is a clinical social worker in Saint Joseph, MI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. KRISTINE PROCTOR, LLC NPI is 1861838203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3408 NILES RD
SAINT JOSEPH, MI
ZIP 49085-601
Phone: (269) 405-0653
Fax: (269) 408-0084

The provider's authorized official is Kristine Bennett Proctor .
The authorized official title is President and has the following contact phone number (269) 405-0653.

The enumeration date for this NPI number is 5/13/2013 and was last updated on 5/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical6801069783MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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