Provider Demographics
NPI:1174064901
Name:BOESKOOL, KRISTEN COLE (LMSW)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:COLE
Last Name:BOESKOOL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:COLE
Other - Last Name:STEINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:516 EVERETT DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48915-1108
Mailing Address - Country:US
Mailing Address - Phone:810-534-7265
Mailing Address - Fax:
Practice Address - Street 1:516 EVERETT DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48915-1108
Practice Address - Country:US
Practice Address - Phone:810-534-7265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010968251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical