Provider Demographics
NPI:1629590575
Name:VEURINK, ANDREA JANAE (LLBSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:JANAE
Last Name:VEURINK
Suffix:
Gender:F
Credentials:LLBSW
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:JANAE
Other - Last Name:LAMPEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLBSW
Mailing Address - Street 1:5281 CLYDE PARK AVE SW STE 2
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49509-9506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5281 CLYDE PARK AVE SW STE 2
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49509-9506
Practice Address - Country:US
Practice Address - Phone:616-719-4263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802087809104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker