Healthcare Provider Details

I. General information

NPI: 1326305871
Provider Name (Legal Business Name): CAREY CUTCHER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAREY LAARMAN

II. Dates (important events)

Enumeration Date: 04/20/2012
Last Update Date: 12/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHERRY ST SE
GRAND RAPIDS MI
49503-4526
US

IV. Provider business mailing address

1131 IONIA STREET NW
GRAND RAPIDS MI
49503
US

V. Phone/Fax

Practice location:
  • Phone: 616-965-8200
  • Fax: 616-242-6057
Mailing address:
  • Phone: 616-259-7900
  • Fax: 616-259-7909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801093593
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: