Michelle Maman
Individual provider Active NPI Clinical Social Worker · Menominee, MI
NPI 1881960045 · NPPES record last updated Sep 20, 2016
Key facts
- NPI
- 1881960045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801094533 (MI)
- Practice address
- 401 10TH Ave
Menominee, MI 49858-3009 - Phone
- (906) 863-7841
- NPI assigned
- Mar 31, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801094533 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801094533 | MI | Yes |
Addresses
Primary practice location
401 10TH Ave
Menominee, MI 49858-3009
Mailing address
1040 Sierra Dr
Ste 400
Greenwood, IN 46143-7241
Phone (317) 865-8988
Other providers in Menominee, MI
- Lyon Therapy Services LLC
- M&M Chiropractic and Wellness PLC
- Ian Scott Macarthur
- Mack Occupational Health Services SC
- Katelyn Mackay
- Ashley Manninen
- Keith Francis Mattson
- Erin McGhee
- Lynette Ann McMahon
- Menominee Care Center, LLC
All providers in Menominee, MI · Clinical 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 Sep 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.