Chad Michael Fessenden in Grand Rapids - Clinical
Chad Michael Fessenden - NPI 1386828192
Chad Michael Fessenden is a Clinical in Grand Rapids, Michigan. Chad Michael Fessenden practices all healthcare services and medical treatments related to Clinical. The NPI Number for Chad Michael Fessenden is 1386828192. The last update date is 2021-04-05.
Chad Michael Fessenden's current location address is 100 Michigan St Ne Fl 10, Grand Rapids, Michigan. You can contact this provider via phone number 6162671925. The mailing address for Chad Michael Fessenden is 100 Michigan St Ne Fl 10, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Chad Michael Fessenden |
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Address | 100 Michigan St Ne Fl 10, Grand Rapids, Michigan |
Phone Number | 6162671925 |
Fax Number | |
Sole Proprietor | N |
Credentials | MSW, LLMSW |
NPI Number Detail
NPI Number | 1386828192 |
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Provider Enumeration Date | 2007-12-28 |
Last Updated Date | 2021-04-05 |
Provider Mailing Address Detail
Address | 100 Michigan St Ne Fl 10 |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495032560 |
Phone Number | 6162671925 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6801088552 |
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, certif |
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What is the unique identification code assigned to Chad Michael Fessenden by the Centers for Medicare & Medicaid Services?
The Chad Michael Fessenden has been issued the NPI (National Provider Identifier) 1386828192. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Chad Michael Fessenden located?
The Chad Michael Fessenden is located at 100 Michigan St Ne Fl 10, Grand Rapids, MI 495032560.
What is Chad Michael Fessenden's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Chad Michael Fessenden is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386828192 to Chad Michael Fessenden?
The Centers for Medicare & Medicaid Services originally issued the 1386828192 to Chad Michael Fessenden on 2007-12-28.
As of what date were the details related to Chad Michael Fessenden most recently updated or revised?
The information pertaining to Chad Michael Fessenden, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-05.