Provider Demographics
NPI:1134171796
Name:BICKERT, ROSIE SPAGNUOLO (MSW, LMSW, ACSW)
Entity type:Individual
Prefix:MRS
First Name:ROSIE
Middle Name:SPAGNUOLO
Last Name:BICKERT
Suffix:
Gender:F
Credentials:MSW, LMSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 W LOCHER RD
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-9764
Mailing Address - Country:US
Mailing Address - Phone:517-490-7712
Mailing Address - Fax:517-669-1939
Practice Address - Street 1:1904 W LOCHER RD
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-9764
Practice Address - Country:US
Practice Address - Phone:517-490-7712
Practice Address - Fax:517-669-1939
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010677521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical