Provider Demographics
NPI:1235487828
Name:PAGUIO, KRISTI (LMSW)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:PAGUIO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 MAPLEVALLEY DR SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49512-3801
Mailing Address - Country:US
Mailing Address - Phone:773-426-4067
Mailing Address - Fax:
Practice Address - Street 1:2414 MAPLEVALLEY DR SE
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49512-3801
Practice Address - Country:US
Practice Address - Phone:773-426-4067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010940861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical