David Emmenecker
David Emmenecker is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2021, 5 years ago. Licensed in Michigan.
- Years since qualifying
- 5
- Licensed in
- MI
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
300 68th St SEGrand Rapids, MI 49548-6927
Phone: (616) 455-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 6851114045 (MI) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1326648221 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 29, 2020 |
| Last updated in NPPES | December 13, 2022 |
| Certification date | December 13, 2022 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
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