MEDICARE: ANNA ROSE WEGELA 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	6801119092	MI

General Provider Information

NPI Number	:	1669181244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA ROSE WEGELA LMSW

Provider Business Mailing Address
First Line	:	6909 WHITBY ST
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2056
Country	:	US
Telephone Number	:	734-331-0690
Fax Number	:

Provider Business Practice Location Address
First Line	:	6909 WHITBY ST
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2056
Country	:	US
Telephone Number	:	734-331-0690
Fax Number	:

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

Provider Enumeration Date	:	11/22/2022
Last Update Date	:	01/09/2026

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