Provider Demographics
NPI:1861666760
Name:LEWIS-GRINWIS, KRIS M (MSW)
Entity Type:Individual
Prefix:
First Name:KRIS
Middle Name:M
Last Name:LEWIS-GRINWIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 E EISENHOWER PKWY
Mailing Address - Street 2:STE 30
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-3356
Mailing Address - Country:US
Mailing Address - Phone:734-945-5158
Mailing Address - Fax:
Practice Address - Street 1:455 E EISENHOWER PKWY
Practice Address - Street 2:STE 30
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-3356
Practice Address - Country:US
Practice Address - Phone:734-945-5158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010853171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical