Provider Demographics
NPI:1497897888
Name:STERENBERG, KATHY L (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:L
Last Name:STERENBERG
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 1:6687 SEECO DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-5970
Mailing Address - Country:US
Mailing Address - Phone:269-372-8800
Mailing Address - Fax:269-372-8855
Practice Address - Street 1:6687 SEECO DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-5970
Practice Address - Country:US
Practice Address - Phone:269-372-8800
Practice Address - Fax:269-372-8855
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010871951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical