Pamela Sue Willacker
Individual provider Active NPI Clinical Social Worker · Posen, MI
NPI 1548010705 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1548010705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 9673 Maple Lane Rd
Posen, MI 49776-9626 - Phone
- (989) 766-2646
- NPI assigned
- Mar 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
9673 Maple Lane Rd
Posen, MI 49776-9626
Mailing address
5061 Dagett Rd
Posen, MI 49776-9620
Phone (989) 884-2025
Other providers in Posen, MI
All providers in Posen, 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 Mar 22, 2024. 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.