Michelle Marie Casselman

Individual provider Active NPI Community Health Worker · Constantine, MI

NPI 1124883673 · NPPES record last updated Feb 14, 2024

Key facts

NPI
1124883673
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
18511 Banker St
Constantine, MI 49042-9726
Phone
(269) 319-7859
NPI assigned
Feb 14, 2024
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

18511 Banker St
Constantine, MI 49042-9726

Mailing address

515 E 700 N
Howe, IN 46746-9312
Phone (260) 336-4572

Other providers in Constantine, MI

All providers in Constantine, MI · Community Health Worker in Michigan

Sources for this page

Verify at the official NPI Registry.