Basic Information
| Provider Information | |||||||||
| NPI: | 1831591833 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GRASMEYER | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | LBSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 920 DIANA ST | ||||||||
| Address2: | |||||||||
| City: | LUDINGTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494311987 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2318456294 | ||||||||
| FaxNumber: | 2318457095 | ||||||||
| Practice Location | |||||||||
| Address1: | 920 DIANA ST | ||||||||
| Address2: | |||||||||
| City: | LUDINGTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494311987 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2318456294 | ||||||||
| FaxNumber: | 2318457095 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/22/2014 | ||||||||
| LastUpdateDate: | 09/22/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 6802082760 | MI | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.