Provider Demographics
NPI:1356118228
Name:JUST A SOCIAL WORKER, PLLC
Entity type:Organization
Organization Name:JUST A SOCIAL WORKER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ELDRED
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-828-8401
Mailing Address - Street 1:3614 CAMELOT DR SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-6002
Mailing Address - Country:US
Mailing Address - Phone:616-828-8401
Mailing Address - Fax:
Practice Address - Street 1:3614 CAMELOT DR SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-6002
Practice Address - Country:US
Practice Address - Phone:616-828-8401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty