Provider Demographics
NPI:1861376675
Name:CHRZANOWSKI, MANDY HELEN (LLMSW)
Entity type:Individual
Prefix:
First Name:MANDY
Middle Name:HELEN
Last Name:CHRZANOWSKI
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4381 GREENVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:FORT GRATIOT
Mailing Address - State:MI
Mailing Address - Zip Code:48059-3929
Mailing Address - Country:US
Mailing Address - Phone:909-559-1358
Mailing Address - Fax:
Practice Address - Street 1:1124 GRATIOT BLVD
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:MI
Practice Address - Zip Code:48040-1133
Practice Address - Country:US
Practice Address - Phone:810-824-4318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511197141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical