Sandra Kotecki, LBSW, QIDP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802082903 Issued in MI

Practice address

376 E Apple Ave
Muskegon, MI 49442-3466

Phone

(231) 724-1368

Fax

(231) 724-4539

NPI assigned

Aug 3, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sandra Lynn Mesler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1699228924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S BOCK RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421905",
            "telephone_number": "231-736-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423466",
            "telephone_number": "231-724-1368",
            "fax_number": "231-724-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTECKI",
        "first_name": "SANDRA",
        "credential": "LBSW, QIDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802082903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MESLER",
            "middle_name": "LYNN",
            "credential": "LBSW, QIDP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristian Joy Kortman
• Mackenzie Kortman
• Barbara J Koski, RN
• Amanda Jane Kosten, LLMSW
• Joseph Kostrzewa, PA-C
• Jessica Lynn Kowalkowski, MA
• Maryanne Louise Kowalski, LMSW
• Conrad Kozlowski, MD
• Jordain G Kraai, PHARM.D
• Arianna Marie Kraljic, LLMSW

• Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.