Emily Elizabeth Derks, L.L.M.S.W
Individual provider Active NPI Clinical Social Worker · White Cloud, MI
NPI 1467979492 · NPPES record last updated Aug 30, 2017
Key facts
- NPI
- 1467979492
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801100921 (MI)
- Practice address
- 1049 E Newell St
White Cloud, MI 49349-8795 - Phone
- (231) 689-7330
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 6801100921 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newaygo County Mental Health Board | Past | Accepting new patients | |
| Newaygo County Mental Health Board | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801100921 | MI | Yes |
Addresses
Primary practice location
1049 E Newell St
White Cloud, MI 49349-8795
Mailing address
PO Box 867
White Cloud, MI 49349-0867
Phone (231) 689-7330
Other providers in White Cloud, MI
- James H. Davis
- Stephen Dehaan
- Paige Deitering
- Jennifer Deja
- Toni Dejohn
- Amy Marie Derus
- Heather Derwin
- Jennifer Derwin
- Detroit Bio Medical Laboratories,Inc
- District Health Department #10
All providers in White Cloud, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 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.