Healthcare Provider Details

I. General information

NPI: 1831310754
Provider Name (Legal Business Name): CRISTINA ELEONORA STAUFFER MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CRISTINA ELEONORA STEELE MSW, LMSW

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

983 SPAULDING AVE SE
ADA MI
49301-3701
US

IV. Provider business mailing address

PO BOX 608
ADA MI
49301-0608
US

V. Phone/Fax

Practice location:
  • Phone: 616-581-4967
  • Fax: 844-827-3576
Mailing address:
  • Phone: 616-581-4967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801080900
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: