Alexis Rose Knutson, LLMSW
Individual provider Active NPI Social Worker · White Cloud, MI
NPI 1811688682 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1811688682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6851116328 (MI)
- Practice address
- 1035 E James St
White Cloud, MI 49349-8744 - Phone
- (231) 689-7330
- NPI assigned
- May 15, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6851116328 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851116328 | MI | Yes |
Addresses
Primary practice location
1035 E James St
White Cloud, MI 49349-8744
Mailing address
798 W 120TH St
Grant, MI 49327-9157
Phone (616) 710-6739
Other names
- Alexis Rose Derosha
Other providers in White Cloud, MI
- Steve Dale Jones
- Beckee Jeanne Kibler
- Angela Louise King
- Savannah M King
- Loren Keith Klug
- Kristina Krozal
- Amy Kurtti
- Michele Lynn Lafontsee
- Linda Lee Lanew Scott
- Mary Theresa Leone
All providers in White Cloud, MI · 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 May 15, 2023. 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.