Healthcare Provider Details

I. General information

NPI: 1710803796
Provider Name (Legal Business Name): REBECCA FELDPAUSCH LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E MICHIGAN AVE STE 460
LANSING MI
48912-1897
US

IV. Provider business mailing address

1200 E MICHIGAN AVE STE 460
LANSING MI
48912-1897
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-5490
  • Fax: 517-364-5499
Mailing address:
  • Phone: 517-364-5490
  • Fax: 517-364-5499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801098657
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: