Provider Demographics
NPI:1932598430
Name:ROZNOWSKI, KRISTI LYNN (LMSW)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LYNN
Last Name:ROZNOWSKI
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 1:3215 HALLMARK CT
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2109
Mailing Address - Country:US
Mailing Address - Phone:989-790-5990
Mailing Address - Fax:989-790-5991
Practice Address - Street 1:3215 HALLMARK CT
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2109
Practice Address - Country:US
Practice Address - Phone:989-790-5990
Practice Address - Fax:989-790-5991
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010932561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical