Pine Rest Christian Mental Health Services in Grand Rapids - Social Worker
Pine Rest Christian Mental Health Services - NPI 1922019157
Pine Rest Christian Mental Health Services is a Social Worker in Grand Rapids, Michigan. Pine Rest Christian Mental Health Services practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Pine Rest Christian Mental Health Services is 1922019157. The last update date is 2020-11-04.
Pine Rest Christian Mental Health Services's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Pine Rest Christian Mental Health Services is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Rest Christian Mental Health Services |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGED CA |
|---|---|
| Authorized Official Name | Fennema Diane |
| Telephone Number | 6162816372 |
NPI Number Detail
| NPI Number | 1922019157 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
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Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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What is the unique identifier code issued to Pine Rest Christian Mental Health Services by the Centers for Medicare & Medicaid Services (CMS)?
The Pine Rest Christian Mental Health Services has been assigned the NPI (National Provider Identifier) 1922019157. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Pine Rest Christian Mental Health Services's physical address?
The Pine Rest Christian Mental Health Services is physically located at 300 68Th St Se, in the city of Grand Rapids, MI, with the postal code 495486927.
What is the area of specialization for Pine Rest Christian Mental Health Services, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pine Rest Christian Mental Health Services is Social Worker, and the corresponding taxonomy code that categorizes this area of expertise is 104100000X.
On what date did the Pine Rest Christian Mental Health Services receive its 1922019157 assignment from the Centers for Medicare & Medicaid Services?
The Pine Rest Christian Mental Health Services was assigned its 1922019157 by the Centers for Medicare & Medicaid Services on 2006-08-11.
When was the information regarding Pine Rest Christian Mental Health Services, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pine Rest Christian Mental Health Services, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-11-04.