Nazareth Christian Luther

Individual provider Active NPI Clinical Social Worker · Cadillac, MI

NPI 1073377792 · NPPES record last updated Oct 24, 2024

Key facts

NPI
1073377792
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
101 Anna Cir
Cadillac, MI 49601-8078
Phone
(231) 429-5622
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
District Health Department No 10 Past
since Feb 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

101 Anna Cir
Cadillac, MI 49601-8078

Mailing address

101 Anna Cir
Cadillac, MI 49601-8078
Phone (231) 429-5622

Other providers in Cadillac, MI

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

Sources for this page

Verify at the official NPI Registry.