Carol Jean Kesterke, LMSW, LPC
Individual provider Active NPI Counselor · St. Clair, MI
NPI 1700970381 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1700970381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401000039 (MI)
- Practice address
- 132 Trumbull
St. Clair, MI 48079 - Phone
- (810) 329-5340
- Fax
- (810) 329-8964
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401000039 | MI | MD | Counselor |
| 6801032879 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Eastwood Behavioral Health | Social Worker | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401000039 | MI | Yes |
| Social Worker | 104100000X | 6801032879 | MI |
Addresses
Primary practice location
132 Trumbull
St. Clair, MI 48079
Mailing address
28000 Dequindre Rd
Warren, MI 48092
Phone (586) 753-0405
Other providers in St. Clair, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.