Patti Jo Albert, LMSW

Individual provider Active NPI Social Worker · Benton Harbor, MI

NPI 1144309154 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1144309154
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
6801060498 (MI)
Practice address
1485 S. M-139
Benton Harbor, MI 49022
Phone
(269) 925-0585
Fax
(269) 927-1326
NPI assigned
Nov 2, 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)
No

State licenses

LicenseStateTypeSpecialty
6801060498MIMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801060498 MI Yes

Addresses

Primary practice location

1485 S. M-139
Benton Harbor, MI 49022

Mailing address

1485 S. M-139
Benton Harbor, MI 49022
Phone (269) 925-0585

Other providers in Benton Harbor, MI

All providers in Benton Harbor, MI · Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.