Anne Lange, BSN, LMSW, ACSW

Individual provider Active NPI Social Worker · Eaton Rapids, MI

NPI 1659586089 · NPPES record last updated Apr 21, 2022

Key facts

NPI
1659586089
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
6801068482 (MI)
Practice address
5214 Holmes Hwy
Eaton Rapids, MI 48827-9553
Phone
(517) 719-1523
NPI assigned
May 11, 2007
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)
Yes
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
6801068482MIMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801068482 MI Yes

Addresses

Primary practice location

5214 Holmes Hwy
Eaton Rapids, MI 48827-9553

Mailing address

5214 Holmes Hwy
Eaton Rapids, MI 48827-9553
Phone (517) 719-1523

Other practice location 1

1466 Newport St Unit 5
Traverse City, MI 49686-2316
Phone (517) 719-1523

Other providers in Eaton Rapids, MI

All providers in Eaton Rapids, MI · Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.