MEDICARE: MELISSA WESTERHOF

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801095751	MI

General Provider Information

NPI Number	:	1073938056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA WESTERHOF

Provider Business Mailing Address
First Line	:	5000 HAKES DR STE 500
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-5574
Country	:	US
Telephone Number	:	231-769-2134
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 HAKES DR STE 500
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-5574
Country	:	US
Telephone Number	:	231-769-2134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2014
Last Update Date	:	12/28/2016

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Directions to “ MELISSA WESTERHOF ” Practice Location

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