Provider Demographics
NPI:1811370166
Name:KLEINOW, LAUREN HAAS (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:HAAS
Last Name:KLEINOW
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 1:42017 LOGANBERRY RDG S
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2641
Mailing Address - Country:US
Mailing Address - Phone:248-231-4538
Mailing Address - Fax:
Practice Address - Street 1:42017 LOGANBERRY RDG S
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2641
Practice Address - Country:US
Practice Address - Phone:248-231-4538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-06
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010936381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical