Provider Demographics
NPI:1932703758
Name:MEYERING-ZERNS, NANCY J (LMSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:MEYERING-ZERNS
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 1:7592 W 112TH ST
Mailing Address - Street 2:
Mailing Address - City:GRANT
Mailing Address - State:MI
Mailing Address - Zip Code:49327-9746
Mailing Address - Country:US
Mailing Address - Phone:616-427-8888
Mailing Address - Fax:
Practice Address - Street 1:7592 W 112TH ST
Practice Address - Street 2:
Practice Address - City:GRANT
Practice Address - State:MI
Practice Address - Zip Code:49327-9746
Practice Address - Country:US
Practice Address - Phone:616-427-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011068021041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty