Jeanne M Harper, MPS, FT, BCETS, LBSW
Individual provider Active NPI Social Worker · Menominee, MI
NPI 1235212960 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1235212960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6802065750 (MI)
- Practice address
- 447 1St St
Menominee, MI 49858-3307 - Phone
- (906) 864-2590
- Fax
- (906) 864-3058
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802065750 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Professional Counseling Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802065750 | MI | Yes |
Addresses
Primary practice location
447 1St St
Menominee, MI 49858-3307
Mailing address
1113 Elizabeth Ave
Marinette, WI 54143-2514
Phone (715) 735-9549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08943500 | Other | MI | BLUE CROSS BLUE SHIELD |
| 39282900 | Medicaid | WI |
Other providers in Menominee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.