Kristeen Markan, LMSW
Individual provider Active NPI Social Worker · Kalamazoo, MI
NPI 1508106493 · NPPES record last updated Dec 20, 2019
Key facts
- NPI
- 1508106493
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801102059 (MI)
- Practice address
- 418 W. Kalamazoo Ave
Kalamazoo, MI 49007 - Phone
- (269) 553-7120
- Fax
- (269) 553-7129
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW | CA | MD | Social Worker |
| 6801102059 | MI | MD | Social Worker |
| LLMSW | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LLMSW | MI | |
| Social Worker | 104100000X | ACSW | CA | |
| Social Worker | 104100000X | 6801102059 | MI | Yes |
Addresses
Primary practice location
418 W. Kalamazoo Ave
Kalamazoo, MI 49007
Mailing address
418 W. Kalamazoo Ave
Kalamazoo, MI 49007
Phone (269) 553-7120
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.