Healthcare Provider Details

I. General information

NPI: 1326262007
Provider Name (Legal Business Name): CAROLINE STANTON PARMELEE-NOFFSINGER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 03/13/2023
Certification Date: 03/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15146 16TH AVE
MARNE MI
49435-9605
US

IV. Provider business mailing address

3949 SPARKS DRIVE SUITE 103
GRAND RAPIDS MI
49546
US

V. Phone/Fax

Practice location:
  • Phone: 844-776-9651
  • Fax:
Mailing address:
  • Phone: 616-957-5850
  • Fax: 616-957-5853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801015949
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: