Jessica Jean Trudeau, LLMSW
Social Worker, Clinical in Indian River, MI. Individual provider (NPI-1).
NPI number1063106979
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1063106979
- Entity type
- Individual (NPI-1)
- Name
- Jessica Jean Trudeau
- Credential
- LLMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2023
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6851108301 | MI | Yes |
Practice location
6724 Fisher Woods RdIndian River, MI 49749-9444
Phone 231-735-5778
Mailing address
6724 Fisher Woods RdIndian River, MI 49749-9444
Phone 231-735-5778
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Indian River, MI
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.