MEDICARE: GINA COLE LLMSW

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	104100000X	Social Worker	680110063	MI

General Provider Information

NPI Number	:	1194225276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA COLE LLMSW

Provider Business Mailing Address
First Line	:	812 E JOLLY RD STE 311
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-6821
Country	:	US
Telephone Number	:	517-346-8229
Fax Number	:

Provider Business Practice Location Address
First Line	:	812 E JOLLY RD STE 216
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-6821
Country	:	US
Telephone Number	:	517-346-8200
Fax Number	:

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

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	03/23/2026

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Directions to “ GINA COLE LLMSW” Practice Location

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