Carrie Elizabeth Wicklund, LMSW
Social Worker, Clinical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1336718907
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1336718907
- Entity type
- Individual (NPI-1)
- Name
- Carrie Elizabeth Wicklund
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2021
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801116981 | MI | Yes |
Other names
- Carrie Elizabeth Mathis (Former Name)
Practice location
275 Michigan St NeGrand Rapids, MI 49503-2531
Phone 616-267-7900 · Fax 616-267-7901
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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