Wanda Georgeann Bebow, RSST
Individual provider Active NPI Social Worker · Alma, MI
NPI 1265858302 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1265858302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6803074642 (MI)
- Practice address
- 608 Wright Ave
Alma, MI 48801-1617 - Phone
- (989) 968-4026
- NPI assigned
- Mar 13, 2014
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6803074642 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6803074642 | MI | Yes |
Addresses
Primary practice location
608 Wright Ave
Alma, MI 48801-1617
Mailing address
608 Wright Ave
Alma, MI 48801-1617
Phone (989) 968-4026
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6803074642 | Other | MI | BOARD OF SOCIAL WORK SOCIAL SERVICE TECHNICIAN REGISTRATION |
| 230016151221112 | Other | MI | CERTIFIED NURSE AIDE |
Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. 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.