Kristen Winter De Haan, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851104338 Issued in MI

Practice address

445 W Michigan Ave
Kalamazoo, MI 49007-3750

Phone

(269) 488-5460

NPI assigned

Aug 3, 2021

Last updated

Aug 3, 2021By the provider in NPPES

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

Other names 1

• Ms. Kristen Stephanie Winter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1942974043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 PEMBROKE ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086015",
            "telephone_number": "847-400-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073750",
            "telephone_number": "269-488-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE HAAN",
        "first_name": "KRISTEN",
        "middle_name": "WINTER",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851104338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "WINTER",
            "middle_name": "STEPHANIE",
            "prefix": "MS.",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerald A Dayharsh, MD
• Jessica Daykin
• Lauren Dayton, LLMSW
• Ricardo Lessa De Castro, MD
• Callahan De Cillis
• Jose Angelo Lenon De Leon, MD
• Alissa Deal
• Dean a. Bender, D.C., P.C.
• Corey Dean
• Emily Kay Dean, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.