MEDICARE: STEPHANIE L VANNIMAN 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	6801088462	MI

General Provider Information

NPI Number	:	1225469067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE L VANNIMAN LMSW

Provider Business Mailing Address
First Line	:	6250 M 66 N
Second Line	:
City	:	CHARLEVOIX
State	:	MI
Zip	:	49720-9272
Country	:	US
Telephone Number	:	231-547-5885
Fax Number	:	231-547-5885

Provider Business Practice Location Address
First Line	:	6250 M 66 N
Second Line	:
City	:	CHARLEVOIX
State	:	MI
Zip	:	49720-9272
Country	:	US
Telephone Number	:	231-547-5885
Fax Number	:	231-547-5885

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

Provider Enumeration Date	:	12/04/2013
Last Update Date	:	12/04/2013

Similar Medicare Providers

1073048542 — EMILY K STEVENS LMSW
Practice Location Address:

6250 M 66 N
CHARLEVOIX, MI
49720-9272

Practice Phone: 231-547-5885
Practice Fax:

1700150638 — MS. NINA KAY MARTENSON TLLP
Practice Location Address:

6250 M 66 N
CHARLEVOIX, MI
49720-9272

Practice Phone: 231-547-5885
Practice Fax: 231-547-0136

1235560814 — MICHALENE M WRIGHT RN
Practice Location Address:

6250 M 66 N
CHARLEVOIX, MI
49720-9272

Practice Phone: 231-547-5885
Practice Fax: 231-547-0136

1205205267 — BEACON DENTAL CENTER
Practice Location Address:

6483 M 66 N
CHARLEVOIX, MI
49720-9272

Practice Phone: 231-547-9141
Practice Fax: 231-547-5077

1104331834 — AMANDA HERSCHER
Practice Location Address:

6250 M 66 N
CHARLEVOIX, MI
49720-9272

Practice Phone: 231-547-5885
Practice Fax:

1427550417 — ERIKA R COLLINS AT, PTA
Practice Location Address:

6510 M 66 N
CHARLEVOIX, MI
49720-9272

Practice Phone: 231-547-0380
Practice Fax: 231-547-0395

Directions to “ STEPHANIE L VANNIMAN LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.