Healthcare Provider Details

I. General information

NPI: 1306217229
Provider Name (Legal Business Name): HANNAH REBECCA STEGINK LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH REBECCA POHLY LMSW

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 36TH ST SW
WYOMING MI
49509-3587
US

IV. Provider business mailing address

320 COMMERCE AVE SW
GRAND RAPIDS MI
49503-4101
US

V. Phone/Fax

Practice location:
  • Phone: 616-320-0405
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6800110380
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: