Christina Marie Vanhouten, LMSW
Individual provider Active NPI Clinical Social Worker · Coopersville, MI
NPI 1023498367 · NPPES record last updated Jul 15, 2019
Key facts
- NPI
- 1023498367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801097971 (MI)
- Practice address
- 25 Conran Dr Ste B
Coopersville, MI 49404-1347 - Phone
- (616) 267-7860
- NPI assigned
- Jun 2, 2015
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801097971 | MI | Yes |
Addresses
Primary practice location
25 Conran Dr Ste B
Coopersville, MI 49404-1347
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other names
- Christina Fischbach
Other providers in Coopersville, MI
- Cheryl Ann Thomas
- Krista Tisdel
- Uplift Therapies, LLC
- Kara Lynne Vanderboon
- Nicole Marie Vandussen
- Melissa Vankampen
- Dawn K Walt
- Tayler Ward
- Ronda R White
- Grace Yensch
All providers in Coopersville, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2019. 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.