Desiree Andersen
Social Worker, Clinical in Grandville, MI. Individual provider (NPI-1).
NPI number1487031258
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1487031258
- Entity type
- Individual (NPI-1)
- Name
- Desiree Andersen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2015
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801096051 | MI | Yes |
| 1041C0700X | Social Worker, Clinical | 6801096051 | – |
Practice location
4120 Chicago Dr Sw Ste 4Grandville, MI 49418-1281
Phone 616-889-6602
Mailing address
4120 Chicago Dr Sw Ste 4Grandville, MI 49418-1281
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