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NPI Code Detail

MEDICARE: MS. REBECCA JENE HASSELL LMSW

MEDICARE: MS. REBECCA JENE HASSELL LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6851117228MI
2171M00000XCase Manager/Care Coordinator
3247200000XOther Technician
41041C0700XClinical Social Worker6801121218MI

General Provider Information

NPI Number : 1174116677
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA JENE HASSELL LMSW
Provider Business Mailing Address
First Line : 6549 TOWN CENTER DR STE A
Second Line :
City : CLARKSTON
State : MI
Zip : 48346-4824
Country : US
Telephone Number : 800-395-3223
Fax Number :
Provider Business Practice Location Address
First Line : 13305 REECK CT
Second Line :
City : SOUTHGATE
State : MI
Zip : 48195-3197
Country : US
Telephone Number : 800-395-3223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2021
Last Update Date : 05/29/2026

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