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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BERGAN JOHANNA BOLTHOUSE

Active

BERGAN JOHANNA BOLTHOUSE is a Clinical Social Worker healthcare provider located in WYOMING, Michigan. NPI 1740175512 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WYOMING, MI

Registration Details

NPI Number
1740175512
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2025 (0.99270169337395 yrs)
Last Updated
Jun 11, 2025
License
6851120274 (MI)

Practice Information

Address
1055 GEZON PKWY SW
WYOMING, MI, 495099542
Browse MI providers · Browse ZIP 49509
Phone
6167732908
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WYOMING, MI

Name Credential NPI
AMANDA GOODBLOOD LCSW 1730132184
MS. LINDA M DRYFHOUT LMSW 1720140585
REBECCA J SUGGITT LMSW 1043359144
MR. MARVIN MCKENZIE JR. LMSW 1932221876
MRS. DEWANDA L GICHEMI LMSW, IPT-A, CTMH 1598983587
MRS. JOANNE KATHRINE VANDERVEEN MASTERS SOCIAL WORKE 1891914743
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.