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NPI Code Detail

MEDICARE: JESSICA SINGER LMSW

MEDICARE: JESSICA SINGER 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
11041C0700XClinical Social Worker6801095365MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386002822
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SINGER LMSW
Provider Business Mailing Address
First Line : 200 VISTA DR
Second Line :
City : COLDWATER
State : MI
Zip : 49036-1776
Country : US
Telephone Number : 517-279-8404
Fax Number :
Provider Business Practice Location Address
First Line : 200 VISTA DR
Second Line :
City : COLDWATER
State : MI
Zip : 49036-1776
Country : US
Telephone Number : 517-279-8404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2016
Last Update Date : 03/23/2023

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