Provider Demographics
NPI:1497635791
Name:KENDZORSKI, STEVEN JEFFREY
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:JEFFREY
Last Name:KENDZORSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 E WOODRUFF AVE
Mailing Address - Street 2:
Mailing Address - City:HAZEL PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48030-1850
Mailing Address - Country:US
Mailing Address - Phone:586-935-2195
Mailing Address - Fax:
Practice Address - Street 1:290 W 9 MILE RD
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1794
Practice Address - Country:US
Practice Address - Phone:248-398-7105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker