Victoria Charon

Individual provider Active NPI Clinical Social Worker · Spring Lake, MI

NPI 1407784697 · NPPES record last updated May 11, 2026

Key facts

NPI
1407784697
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
17208 Van Wagoner Rd
Spring Lake, MI 49456-9702
Phone
(616) 741-6149
NPI assigned
May 11, 2026
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MI Yes

Addresses

Primary practice location

17208 Van Wagoner Rd
Spring Lake, MI 49456-9702

Mailing address

10610 Antler TRL
Zeeland, MI 49464-6845

Other providers in Spring Lake, MI

All providers in Spring Lake, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.