Provider Demographics
NPI:1831603034
Name:MESSER, KRISTI DAWN (MSW, MPH LCSW)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:DAWN
Last Name:MESSER
Suffix:
Gender:F
Credentials:MSW, MPH LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 HARBOURVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-3630
Mailing Address - Country:US
Mailing Address - Phone:703-869-6120
Mailing Address - Fax:
Practice Address - Street 1:7491 WEST OAKLAND PARK BLVD, SUITE 308
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319
Practice Address - Country:US
Practice Address - Phone:954-746-5667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FL148401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health