Audrey Mahlie
Individual provider Active NPI Social Worker · Walker, MI
NPI 1306386792 · NPPES record last updated Mar 3, 2017
Key facts
- NPI
- 1306386792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6802085997 (MI)
- Practice address
- 717 N Center Dr NW
Walker, MI 49544-8215 - Phone
- (616) 430-7791
- Fax
- (616) 784-1281
- NPI assigned
- Mar 3, 2017
- 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 |
|---|---|---|---|
| 6802085997 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802085997 | MI | Yes |
Addresses
Primary practice location
717 N Center Dr NW
Walker, MI 49544-8215
Mailing address
717 N Center Dr NW
Walker, MI 49544-8215
Phone (616) 430-7791
Other names
- Audrey Befus
Other providers in Walker, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2017. 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.