MEDICARE: KRYSTEN CHAMBERLAIN LMSW

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	6801121905	MI
2	104100000X	Social Worker	6801121905	MI

General Provider Information

NPI Number	:	1326829060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTEN CHAMBERLAIN LMSW

Provider Business Mailing Address
First Line	:	PO BOX 6583
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48608-6583
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8245 HOLLY RD
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-2443
Country	:	US
Telephone Number	:	810-242-3740
Fax Number	:

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

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	03/20/2026

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Directions to “ KRYSTEN CHAMBERLAIN LMSW” Practice Location

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