MEDICARE: MRS. KRISTA ANN SISSELL LLMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6851117876	MI

General Provider Information

NPI Number	:	1013776913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTA ANN SISSELL LLMSW

Provider Business Mailing Address
First Line	:	8397 N HOLLAND RD
Second Line	:
City	:	SIX LAKES
State	:	MI
Zip	:	48886-9530
Country	:	US
Telephone Number	:	231-823-4470
Fax Number	:

Provider Business Practice Location Address
First Line	:	8397 N HOLLAND RD
Second Line	:
City	:	SIX LAKES
State	:	MI
Zip	:	48886-9530
Country	:	US
Telephone Number	:	231-823-4470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2024
Last Update Date	:	03/14/2024

Similar Medicare Providers

1780892711 — MS. MARY JO ANN DOERR RNC, MSN, WHNP
Practice Location Address:

11487 N SIX LAKES RD
SIX LAKES, MI
48886

Practice Phone: 989-365-3637
Practice Fax:

1578724472 — VICTORIA ANN LEMIRE LMFT
Practice Location Address:

3705 W HOWARD CITY EDMORE RD
SIX LAKES, MI
48886-9728

Practice Phone: 713-503-4418
Practice Fax:

1851702567 — SARA DARLING
Practice Location Address:

8463 N MUSSON RD
SIX LAKES, MI
48886-9520

Practice Phone: 989-365-3710
Practice Fax:

1316556129 — PAULA W. DWYER OTR
Practice Location Address:

310 MORSE DR
SIX LAKES, MI
48886-8746

Practice Phone: 616-581-1176
Practice Fax:

1205446523 — RACHEL SCHAFER LCSW
Practice Location Address:

141 WOODLAND DR
SIX LAKES, MI
48886-8720

Practice Phone: 616-902-4028
Practice Fax:

1457126070 — JAMIE LYNN EDWARDS
Practice Location Address:

712 PARKWOOD DR
SIX LAKES, MI
48886-9786

Practice Phone: 616-824-6826
Practice Fax:

Directions to “ MRS. KRISTA ANN SISSELL LLMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.