Doctor Name: | MRS. ROSIE SPAGNUOLO BICKERT |
NPI Number: | 1134171796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LMSW, ACSW |
License Number: | 6801067752 |
Business Practice Address: | 1591 W Pratt Rd Dewitt, MI - 488209747 |
Business Phone Number: | 5174907712 |
Business Fax Number: | |
Mailing Address: | 2962 Colony Dr, EAST LANSING |
State: | MI |
Postal Code: | 488232369 |
Phone Number: | 5174907712 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801067752 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |