Emily Willoughby
Individual provider Active NPI Social Worker · Shepherd, MI
NPI 1609490804 · NPPES record last updated Jun 3, 2020
Key facts
- NPI
- 1609490804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 10905 S Crawford Rd
Shepherd, MI 48883-9521 - Phone
- (989) 330-9163
- NPI assigned
- Jun 3, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
10905 S Crawford Rd
Shepherd, MI 48883-9521
Mailing address
10905 S Crawford Rd
Shepherd, MI 48883-9521
Phone (989) 330-9163
Other providers in Shepherd, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2020. 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.