MEDICARE: ERIN MICHELLE WERTH MSW, 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
1	1041C0700X	Clinical Social Worker	6801078978	MI

General Provider Information

NPI Number	:	1184633554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN MICHELLE WERTH MSW, LMSW

Provider Business Mailing Address
First Line	:	9111 SADDLE HORN DR
Second Line	:
City	:	FLUSHING
State	:	MI
Zip	:	48433-1213
Country	:	US
Telephone Number	:	810-659-2153
Fax Number	:

Provider Business Practice Location Address
First Line	:	6988 MACKINAW RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-9332
Country	:	US
Telephone Number	:	810-449-7883
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/28/2020

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