Provider Demographics
NPI:1184956799
Name:JOHN V WEBB MSW INC
Entity type:Organization
Organization Name:JOHN V WEBB MSW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:810-732-9451
Mailing Address - Street 1:4481 LENNON RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-1064
Mailing Address - Country:US
Mailing Address - Phone:810-732-9451
Mailing Address - Fax:810-732-1002
Practice Address - Street 1:4481 LENNON RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-1064
Practice Address - Country:US
Practice Address - Phone:810-732-9451
Practice Address - Fax:810-732-1002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHN V WEBB MSW INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-06
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010184071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0892110Medicare PIN