Organization
CATHOLIC CHARITIES WEST MICHIGAN
Active
Other names
Catholic Social Services
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J. NYKAMP MSW, ACSW, LMSW (CEO, PRESIDENT)
(616) 243-9122
Entity
Organization
Contact information
Practice address
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 356-6216
(616) 732-6392
Mailing address
40 JEFFERSON, GRAND RAPIDS, MI 49503
(616) 456-1443
(616) 732-6392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245303809
—
MI
Enumeration date
11/15/2006
Last updated
01/04/2012
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