MEDICARE: MICHELLE LYNN BEARD 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	104100000X	Social Worker	6802087557	MI
2	1041C0700X	Clinical Social Worker	6801114998	MI

General Provider Information

NPI Number	:	1699110288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LYNN BEARD LMSW

Provider Business Mailing Address
First Line	:	13519 IOWA AVE
Second Line	:
City	:	EAGLE
State	:	MI
Zip	:	48822-9557
Country	:	US
Telephone Number	:	517-894-5989
Fax Number	:

Provider Business Practice Location Address
First Line	:	13519 IOWA AVE
Second Line	:
City	:	EAGLE
State	:	MI
Zip	:	48822-9557
Country	:	US
Telephone Number	:	517-894-5989
Fax Number	:

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

Provider Enumeration Date	:	05/08/2013
Last Update Date	:	01/23/2025

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