MEDICARE: RASHEEDAH MUNEERAH NASH

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	6801120134	MI
2	104100000X	Social Worker	6801120134	MI

General Provider Information

NPI Number	:	1295331254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHEEDAH MUNEERAH NASH

Provider Business Mailing Address
First Line	:	4530 COLLINS RD APT 4104
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-8437
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 S CREYTS RD STE D
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-8269
Country	:	US
Telephone Number	:	517-512-5289
Fax Number	:

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

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	06/03/2026

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