Provider Demographics
NPI:1831268721
Name:KROLL, JERI LEA (LMSW)
Entity type:Individual
Prefix:
First Name:JERI LEA
Middle Name:
Last Name:KROLL
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:JERI LEA
Other - Middle Name:
Other - Last Name:LENTINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2010 HOGBACK RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9779
Mailing Address - Country:US
Mailing Address - Phone:810-623-5737
Mailing Address - Fax:
Practice Address - Street 1:2010 HOGBACK RD STE 1A
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9779
Practice Address - Country:US
Practice Address - Phone:810-623-5737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010690331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical