Provider Demographics
NPI:1477749406
Name:OERTEL, CATHERINE IMELDA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:IMELDA
Last Name:OERTEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6051 FRANKFORT HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BENZONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49616-9558
Mailing Address - Country:US
Mailing Address - Phone:231-882-2137
Mailing Address - Fax:
Practice Address - Street 1:2198 US 31 SOUTH
Practice Address - Street 2:
Practice Address - City:MANISTEE
Practice Address - State:MI
Practice Address - Zip Code:49660
Practice Address - Country:US
Practice Address - Phone:231-882-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010935921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical