Mrs Mindy Mott, LMSW is a
Social Worker - Clinical based in Kentwood, Michigan. Mrs Mindy Mott is licensed to practice in Michigan (license number 6801092203) and her current practice location is
6170 Valley Lane Dr Se, Kentwood, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 754-6185.
NPI number for Mrs Mindy Mott is 1801120100 and her current mailing address is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801120100.
Healthcare Provider's Profile
| Full Name | Mrs Mindy Mott |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 6170 Valley Lane Dr Se, Kentwood, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801120100
- Provider Enumeration Date: 09/21/2009
- Last Update Date: 03/15/2021
Medical Identifiers
Medical identifiers for Mrs Mindy Mott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801120100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801092203 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mindy Mott is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Mindy Mott, LMSW
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560
Ph: (616) 486-6790 | Mrs Mindy Mott, LMSW
6170 Valley Lane Dr Se,
Kentwood, MI 49508-6658
Ph: (616) 754-6185 |
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