Provider Demographics
NPI:1891881074
Name:TREW, NANCY MARIE (MSW LMSW LMFT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:MARIE
Last Name:TREW
Suffix:
Gender:F
Credentials:MSW LMSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 CLAYSTONE SE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-5781
Mailing Address - Country:US
Mailing Address - Phone:616-954-1992
Mailing Address - Fax:616-954-1998
Practice Address - Street 1:3351 CLAYSTONE SE
Practice Address - Street 2:SUITE 212
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-5781
Practice Address - Country:US
Practice Address - Phone:616-954-1992
Practice Address - Fax:616-954-1998
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-02600101YA0400X
MI6801018573104100000X
MI4101005654106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0016262001Medicare ID - Type Unspecified