Taylor Mary Howell, LLMSW

Individual provider Active NPI Clinical Social Worker · Ada, MI

NPI 1629894076 · NPPES record last updated Dec 2, 2024

Key facts

NPI
1629894076
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6851119108 (MI)
Practice address
4764 Fulton St E Ste 204
Ada, MI 49301-9086
Phone
(616) 200-4433
NPI assigned
Dec 2, 2024
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

LicenseStateTypeSpecialty
6851119108MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851119108 MI Yes

Addresses

Primary practice location

4764 Fulton St E Ste 204
Ada, MI 49301-9086

Mailing address

1216 Old Gun Club CT SE
Lowell, MI 49331-9264
Phone (616) 255-3899

Other providers in Ada, MI

All providers in Ada, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.