Provider Demographics
NPI:1033758131
Name:KESSLER, MICHAEL F (LMSW)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:KESSLER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 FAIRWAY LN APT 6
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-5054
Mailing Address - Country:US
Mailing Address - Phone:517-204-1604
Mailing Address - Fax:
Practice Address - Street 1:306 S CREYTS RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-8289
Practice Address - Country:US
Practice Address - Phone:517-319-5818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010465511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical