Michelle Lynn Buethe, LMSW
Individual provider Active NPI Social Worker · Grimes, IA
NPI 1003001520 · NPPES record last updated Sep 7, 2007
Key facts
- NPI
- 1003001520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 06140 (IA)
- Practice address
- 1404 NW Calista St.
Grimes, IA 50111-0000 - Phone
- (515) 259-4231
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06140 | IA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 06140 | IA | Yes |
Addresses
Primary practice location
1404 NW Calista St.
Grimes, IA 50111-0000
Mailing address
1404 NW Calista St.
Grimes, IA 50111-0000
Phone (515) 259-4231
Other providers in Grimes, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.