Mei Chun Chan

Individual provider Active NPI Clinical Social Worker · Algonac, MI

NPI 1033150511 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1033150511
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801085576 (MI)
Practice address
555 Saint Clair River Dr
Algonac, MI 48001-1802
Phone
(810) 794-7548
NPI assigned
Jun 8, 2006
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

State licenses

LicenseStateTypeSpecialty
6801085576MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085576 MI Yes

Addresses

Primary practice location

555 Saint Clair River Dr
Algonac, MI 48001-1802

Mailing address

240 Huron LN
Marine City, MI 48039-1434
Phone (810) 765-5010

Other providers in Algonac, MI

All providers in Algonac, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.