Rhonda S Byrne, LMSW

Individual provider Active NPI Clinical Social Worker · White Cloud, MI

NPI 1295979037 · NPPES record last updated Apr 23, 2009

Key facts

NPI
1295979037
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801063950 (MI)
Practice address
1195 E Wilcox Ave
White Cloud, MI 49349-8673
Phone
(231) 689-6701
Fax
(231) 689-6702
NPI assigned
Apr 23, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities West Michigan Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801063950 MI
Clinical Social Worker 1041C0700X 6801063950 MI Yes
School Social Worker 1041S0200X 6801063950 MI

Addresses

Primary practice location

1195 E Wilcox Ave
White Cloud, MI 49349-8673

Mailing address

1095 3Rd St
Muskegon, MI 49441-1976
Phone (231) 726-4735

Other identifiers

IdentifierTypeStateIssuer
750910524OtherMIBCBS
750910532OtherMIBCBS
750910517OtherMIBCBS
750910530OtherMIBCBS
1912452MedicaidMI

Other providers in White Cloud, MI

All providers in White Cloud, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.