MEDICARE: KELLIE HAKKEN LLMSW

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	6801098017	MI

General Provider Information

NPI Number	:	1740660968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLIE HAKKEN LLMSW

Provider Business Mailing Address
First Line	:	49483 2ND AVE
Second Line	:
City	:	GRAND JUNCTION
State	:	MI
Zip	:	49056-9784
Country	:	US
Telephone Number	:	269-329-8708
Fax Number	:

Provider Business Practice Location Address
First Line	:	49483 2ND AVE
Second Line	:
City	:	GRAND JUNCTION
State	:	MI
Zip	:	49056-9784
Country	:	US
Telephone Number	:	269-329-8708
Fax Number	:

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

Provider Enumeration Date	:	06/03/2015
Last Update Date	:	06/03/2015

Similar Medicare Providers

1407729965 — ZHANNA PODUZOVA
Practice Location Address:

9784 GRAND VERDE WAY
BOCA RATON, FL
33428-3513

Practice Phone: 754-284-5984
Practice Fax:

1598111635 — DONNA SMITHLEY
Practice Location Address:

06015 57TH ST
GRAND JUNCTION, MI
49056-9094

Practice Phone: 269-655-4325
Practice Fax:

1083151427 — TIFFANNI MIELKE LMSW
Practice Location Address:

54320 COUNTY ROAD 388
GRAND JUNCTION, MI
49056-9272

Practice Phone: 269-363-2302
Practice Fax: 269-434-6405

1932612595 — KAYLEE M WRZESINSKI
Practice Location Address:

56221 COUNTY ROAD 384
GRAND JUNCTION, MI
49056-9753

Practice Phone: 269-767-4972
Practice Fax:

1609376425 — ALICA M WRZESINSKI
Practice Location Address:

56345 COUNTY ROAD 384
GRAND JUNCTION, MI
49056-9753

Practice Phone: 269-434-6959
Practice Fax:

1700588563 — SANDRA D' AARON
Practice Location Address:

47885 COUNTY ROAD 388
GRAND JUNCTION, MI
49056-9404

Practice Phone: 269-206-2317
Practice Fax:

Directions to “ KELLIE HAKKEN LLMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.