Provider Demographics
NPI:1255438230
Name:SCHLOFF, REMI SPICER (LMSW)
Entity type:Individual
Prefix:
First Name:REMI
Middle Name:SPICER
Last Name:SCHLOFF
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 1:1061 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-5216
Mailing Address - Country:US
Mailing Address - Phone:616-617-1188
Mailing Address - Fax:616-393-8525
Practice Address - Street 1:1061 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-5216
Practice Address - Country:US
Practice Address - Phone:616-617-1188
Practice Address - Fax:616-393-8525
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801078741104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP09981Medicare UPIN
MID16222094Medicare ID - Type UnspecifiedMEDICARE