Healthcare Provider Details

I. General information

NPI: 1235857772
Provider Name (Legal Business Name): LAUREN GRAVES KROPF LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 NORTHLAND DR NE STE 1
ROCKFORD MI
49341-1401
US

IV. Provider business mailing address

10644 WOODBUSHE DR
LOWELL MI
49331-7400
US

V. Phone/Fax

Practice location:
  • Phone: 616-287-3070
  • Fax:
Mailing address:
  • Phone: 701-340-8889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801119848
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: