Provider Demographics
NPI:1649371774
Name:COLLING, NANETTE S (LMSW)
Entity type:Individual
Prefix:MS
First Name:NANETTE
Middle Name:S
Last Name:COLLING
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:NANETTE
Other - Middle Name:S
Other - Last Name:SMAKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:4646 JOHN R ST # 11MH-DOM
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-1916
Mailing Address - Country:US
Mailing Address - Phone:313-576-1556
Mailing Address - Fax:313-576-1560
Practice Address - Street 1:4777 E OUTER DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-3241
Practice Address - Country:US
Practice Address - Phone:313-576-1556
Practice Address - Fax:313-576-1570
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker