Provider Demographics
NPI:1821407982
Name:KRAUT, MICHELLE L (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:L
Last Name:KRAUT
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 1:400 N SAGINAW ST
Mailing Address - Street 2:STE 104
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48502-2045
Mailing Address - Country:US
Mailing Address - Phone:810-234-9324
Mailing Address - Fax:810-234-9326
Practice Address - Street 1:400 N SAGINAW ST
Practice Address - Street 2:STE 104
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48502-2045
Practice Address - Country:US
Practice Address - Phone:810-234-9324
Practice Address - Fax:810-234-9326
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-03
Last Update Date:2014-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010865101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical