Beth Durkee, LMSW
Individual provider Active NPI Social Worker · Fennville, MI
NPI 1053545327 · NPPES record last updated May 14, 2009
Key facts
- NPI
- 1053545327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801065974 (MI)
- Practice address
- 6436 126TH Ave
Fennville, MI 49408-8624 - Phone
- (269) 673-6617
- NPI assigned
- May 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801065974 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerontology Network | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801065974 | MI | Yes |
Addresses
Primary practice location
6436 126TH Ave
Fennville, MI 49408-8624
Mailing address
6436 126TH Ave
Fennville, MI 49408-8624
Other providers in Fennville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2009. 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.