Healthcare Provider Details

I. General information

NPI: 1447614912
Provider Name (Legal Business Name): JESSICA DOBB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 COVERED VLG
BELDING MI
48809-1665
US

IV. Provider business mailing address

8993 BAILEY RD
HOWARD CITY MI
49329-9520
US

V. Phone/Fax

Practice location:
  • Phone: 616-437-1091
  • Fax:
Mailing address:
  • Phone: 616-617-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number680111120
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: