Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KATIE FENNELL, LMSW
Active Sole ProprietorMRS. KATIE FENNELL, LMSW is a Clinical Social Worker healthcare provider located in GRAND RAPIDS, Michigan. NPI 1023164670 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1023164670
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2007 (19.557025166379 yrs)
- Last Updated
- Jun 22, 2015
- License
-
6801090673 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2340 DEAN LAKE AVE NEGRAND RAPIDS, MI, 495054446Browse MI providers · Browse ZIP 49505
- Phone
- 6163616014
- Fax
- 6163618051
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| LISA J. GRIFFIN | LMSW | 1598765992 |
| MATTHEW D JACHALKE | LMSW | 1306833439 |
| ROBERT W KOPFENSTEINER JR. | LMSW | 1386623643 |
| CAROLE CHISHOLM | LMSW CSW | 1356312474 |
| ROBERT DAVIS | LMSW CSW | 1962473090 |
| SUSAN K STAUFFER | LMSW | 1922070143 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.