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

Menta Nichole Back, LLMSW

Individual provider Clinical Social Worker · NPI 1235846502

Menta Nichole Back, LLMSW is a Clinical Social Worker in Saint Johns, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

1505 Waterford Pkwy
Saint Johns, MI 48879-9630
Phone: (989) 292-3572
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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 (MI)

Record details

NPI number1235846502
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedNovember 4, 2022
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022
Mailing address1505 Waterford Pkwy, Saint Johns, MI 48879-9630

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