| Vanderweele And Associates Counseling | |
|
6130 Lovers Ln Portage MI 49002-3026 | |
| (269) 501-5017 | |
| Not Available |
| Full Name | Vanderweele And Associates Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 6130 Lovers Ln, Portage, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (BILLING/CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanderweele And Associates Counseling Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Vanderweele And Associates Counseling 6130 Lovers Ln Portage MI 49002-3026 Ph: (269) 501-5017 |
| NPI Number | 1215480066 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Medicare PECOS PAC ID | 6305198763 |
|---|---|
| Medicare Enrollment ID | O20181012000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215480066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801100053 (Michigan) | Primary |
| Provider Name | Cynthia L Vanderweele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942753199 PECOS PAC ID: 9436401809 Enrollment ID: I20181012000902 |
| Provider Name | Alyse Lange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831642719 PECOS PAC ID: 3779967633 Enrollment ID: I20220826002080 |
| Provider Name | Marta Kirsten Rynearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437761624 PECOS PAC ID: 0648630145 Enrollment ID: I20230715000256 |
| Provider Name | Ashley Mari Huffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174903876 PECOS PAC ID: 9133578057 Enrollment ID: I20231218000732 |
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