KRISTINE PROCTOR, LLC
NPI 1861838203
Social Worker - Clinical in Saint Joseph, MI

Q: What is Kristine Proctor, LLC's NPI number?

The NPI number for Kristine Proctor, LLC is 1861838203. It was assigned to this organization in the NPPES registry on May 13, 2013.

Q: What is Kristine Proctor, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 13, 2013

3408 NILES RD, SAINT JOSEPH, MI 49085(269) 405-0653(269) 408-0084 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristine Proctor, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE PROCTOR, LLC (NPI 1861838203) is a healthcare organization registered as a clinical in Saint Joseph, Michigan and active in the NPI registry since May 2013. The organization lists Kristine Bennett Proctor, President, as its authorized official.

NPPES Registry Identity

NPI1861838203

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameKRISTINE PROCTOR, LLC

Location Address3408 NILES RDSaint Joseph, MI 49085-9601

Mailing Address3408 Niles RdSaint Joseph, MI 49085-9601 · (269) 405-0653 · Fax (269) 408-0084

Phone(269) 405-0653

Fax(269) 408-0084

Organization SubpartNo

Authorized OfficialKristine Bennett ProctorPresident · (269) 405-0653

Enumeration DateMay 13, 2013

✔ NPI 1861838203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801069783

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3408 NILES RD, Saint Joseph, MI 49085

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA WILSON LLPC

Counselor (Mental Health)