Anna Reeve

Individual provider Active NPI Clinical Social Worker · East Grand Rapids, MI

NPI 1083159362 · NPPES record last updated Dec 22, 2016

Key facts

NPI
1083159362
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801094478 (MI)
Practice address
2249 Wealthy St SE
Suite 110
East Grand Rapids, MI 49506-3052
Phone
(616) 391-4600
Fax
(616) 486-0133
NPI assigned
Dec 22, 2016
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

LicenseStateTypeSpecialty
6801094478MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094478 MI Yes

Addresses

Primary practice location

2249 Wealthy St SE
Suite 110
East Grand Rapids, MI 49506-3052

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Other providers in East Grand Rapids, MI

All providers in East Grand Rapids, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.