Kristyn Therese Driver, LMSW, MSW, IMH-E

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801087332 Issued in MI

Practice address

703 Livernois St
Ferndale, MI 48220-2306

Phone

(248) 955-3219

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kristyn Driver LLC

  • Clinical Social Worker
  • Saline, MI
  • NPI 1063010346
  NPD Authorized official
• Natures Playhouse Ferndale LLC

  • Social Worker
  • Ferndale, MI
  • NPI 1164943536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1669592499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 LIVERNOIS ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 LIVERNOIS ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202306",
            "telephone_number": "248-955-3219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 W Alexandrine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012015",
            "country_code": "US",
            "telephone_number": "313-831-5535",
            "fax_number": "313-831-2608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6934 Mullberry Ct",
            "address_purpose": "LOCATION",
            "city": "Saline",
            "state": "MI",
            "postal_code": "481769782",
            "country_code": "US",
            "telephone_number": "734-714-8953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "KRISTYN",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "LMSW, MSW, IMH-E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801087332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Downriver Physical Therapy & Rehabilitation, LLC (D.R Physical Therapy & Rehab LLC)
• Sarah Ann Doyle, LMSW
• Dr. Bridget a. Devlin, PLLC (Claddagh Chiropractic Wellness Center)
• Dr. Wasfeh Musheinesh, P.C. (Musheinesh Home Health Care)
• Dr. Wasfeh Musheinesh, P.C. (Musheinesh Health Care)
• Sarah Elizabeth Dubicki, LMSW
• Gabriella Marie Duff
• Patrice Noel Dufour, CASE MANAGER
• Lynne Estelle Dusky, RRT
• Dynamic Home Health Services LLC

• Social Worker in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.