| Doctor Name: | SHELLY G WOERTINK |
| NPI Number: | 1669529418 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMCSW |
| License Number: | 6801081725 |
| Business Practice Address: | 112 E Chart St Plainwell, MI - 490801768 |
| Business Phone Number: | 2696856363 |
| Business Fax Number: | 2696855995 |
| Mailing Address: | 306 Holly St Sw, WYOMING |
| State: | MI |
| Postal Code: | 495484247 |
| Phone Number: | 6165321815 |
| Fax Number: | 6165321815 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801081725 |
| 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 |