Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maverick Spirits LLC

Organization Clinical Social Worker · NPI 1699515999

Maverick Spirits LLC is a Clinical Social Worker in Adrian, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3100 S Winter St Apt G11
Adrian, MI 49221-8785
Phone: (517) 442-0207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1699515999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kandiss Vancoppenolle — Owner · (517) 442-0207
NPI enumeratedMay 27, 2024
Last updated in NPPESMay 27, 2024
Certification dateMay 26, 2024
Mailing address3100 S Winter St Apt G11, Adrian, MI 49221-8785

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