Healthcare Provider Details

I. General information

NPI: 1912612458
Provider Name (Legal Business Name): RACHEL KATHERINE NETZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 BECKLEY RD
BATTLE CREEK MI
49015-7941
US

IV. Provider business mailing address

4520 BECKLEY RD
BATTLE CREEK MI
49015-7941
US

V. Phone/Fax

Practice location:
  • Phone: 269-969-8723
  • Fax:
Mailing address:
  • Phone: 269-969-8723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801119971
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: