Stephanie Michelle Kokot, LMSW
Social Worker, Clinical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164030870
StatusActive
Last updated in NPPESJul 20, 2020
Details
- NPI
- 1164030870
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Michelle Kokot
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2020
- Certification date
- Jul 20, 2020
- Last updated
- Jul 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801107335 | MI | Yes |
Practice location
360 E Beltline Ave Ne Ste 100Grand Rapids, MI 49506-1214
Phone 616-805-3660
Mailing address
3449 Taft Ave SwWyoming, MI 49519-3359
Phone 616-862-7738
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