Healthcare Provider Details

I. General information

NPI: 1356787238
Provider Name (Legal Business Name): MICHELLE L SAIGEON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2013
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 ALLERTON AVE SE
GRAND RAPIDS MI
49506-3911
US

IV. Provider business mailing address

1307 ALLERTON AVE SE
GRAND RAPIDS MI
49506-3911
US

V. Phone/Fax

Practice location:
  • Phone: 517-214-2909
  • Fax:
Mailing address:
  • Phone: 517-214-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801095313
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: