Provider Demographics
NPI:1578006177
Name:KEMPF-ROFFERS, KRISTIN DIONE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:DIONE
Last Name:KEMPF-ROFFERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:DIONE
Other - Last Name:KEMPF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2864 ASHMAN STREET
Mailing Address - Street 2:OFFICE #331
Mailing Address - City:SAULT STE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783
Mailing Address - Country:US
Mailing Address - Phone:906-635-6075
Mailing Address - Fax:906-635-6549
Practice Address - Street 1:605 E 7TH AVE APT 9
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-3111
Practice Address - Country:US
Practice Address - Phone:906-635-7270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-30
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011003841041C0700X
MI68011111931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical