Provider Demographics
NPI:1801525019
Name:KNAUF, KIRSTYN (LMSW)
Entity type:Individual
Prefix:
First Name:KIRSTYN
Middle Name:
Last Name:KNAUF
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KIRSTYN
Other - Middle Name:
Other - Last Name:MADILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 WHITE TAIL CREEK RD STE 2
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-5896
Mailing Address - Country:US
Mailing Address - Phone:989-220-3060
Mailing Address - Fax:
Practice Address - Street 1:4151 SHRESTHA DR STE D
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2171
Practice Address - Country:US
Practice Address - Phone:586-249-7104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801120531104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker