MEDICARE: MATTHEW REMES

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	6801089407	MI
2	1041C0700X	Clinical Social Worker	6801089407	MI

General Provider Information

NPI Number	:	1366634784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW REMES

Provider Business Mailing Address
First Line	:	1750 E GRAND RIVER AVE STE 100
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-4958
Country	:	US
Telephone Number	:	517-295-3726
Fax Number	:	844-927-4501

Provider Business Practice Location Address
First Line	:	1750 E GRAND RIVER AVE STE 100
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-4958
Country	:	US
Telephone Number	:	517-295-3726
Fax Number	:	844-927-4501

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

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	12/16/2025

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Directions to “ MATTHEW REMES ” Practice Location

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