Individual
AMY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 N CENTER DR NW, GRAND RAPIDS, MI 49544-8215
(616) 301-8000
Mailing address
1823 FRANCIS AVE SE, GRAND RAPIDS, MI 49507-2418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801103335
MI
104100000X
Social Worker
6802088547
MI
1041C0700X
Clinical Social Worker
6801103335
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801103335
LIMITED LICENSE
MI
01
—
6802088547
LLBSW
MI
Enumeration date
07/06/2015
Last updated
11/08/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us