Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER NIDETZ, LMSW
Active Sole ProprietorJENNIFER NIDETZ, LMSW is a Clinical Social Worker healthcare provider located in SOUTH LYON, Michigan. NPI 1255722088 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SOUTH LYON, MI
Registration Details
- NPI Number
- 1255722088
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2015 (11.308276870037 yrs)
- Last Updated
- Feb 16, 2015
- Licenses
-
6801097243 (MI)149015759 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23015 CHEYENNE DRSOUTH LYON, MI, 48178Browse MI providers · Browse ZIP 48178
- Phone
- 7348468297
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in SOUTH LYON, MI
| Name | Credential | NPI |
|---|---|---|
| PAUL E. CORTE | CSW | 1790836757 |
| MRS. KATE RUTH TENPENNY | LCSW | 1780863043 |
| MICHELLE HOPE-RATZLAFF | — | 1649441247 |
| JOY M MULRATH | LMSW | 1316111750 |
| MELISSA PURDY | — | 1730332834 |
| MS. JOANNE TERRY | LMSW | 1336479005 |
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.