Melissa J Wieringa in Grand Rapids - Clinical
Melissa J Wieringa - NPI 1427010628
Melissa J Wieringa is a Clinical in Grand Rapids, Michigan. Melissa J Wieringa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melissa J Wieringa is 1427010628. The last update date is 2008-01-09.
Melissa J Wieringa's current location address is 1870 Leonard Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169561122 and fax number 6169568033. The mailing address for Melissa J Wieringa is 1870 Leonard Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa J Wieringa |
|---|---|
| Address | 1870 Leonard Ne, Grand Rapids, Michigan |
| Phone Number | 6169561122 |
| Fax Number | 6169568033 |
| Sole Proprietor | N |
| Credentials | MSW CSW |
NPI Number Detail
| NPI Number | 1427010628 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 1870 Leonard Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49505 |
| Phone Number | 6169561122 |
| Fax Number | 6169568033 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801078020 |
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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 identifier code issued to Melissa J Wieringa by the Centers for Medicare & Medicaid Services (CMS)?
The Melissa J Wieringa has been assigned the NPI (National Provider Identifier) 1427010628. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Melissa J Wieringa located?
The Melissa J Wieringa is located at 1870 Leonard Ne, Grand Rapids, MI 49505.
What is the Melissa J Wieringa's area of specialization and corresponding taxonomy classification?
The Melissa J Wieringa's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1427010628 to Melissa J Wieringa?
The Melissa J Wieringa received its 1427010628 assignment from the Centers for Medicare & Medicaid Services on 2006-04-04.
When was the information regarding Melissa J Wieringa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Melissa J Wieringa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-09.