Provider Demographics
NPI:1649865767
Name:BOHRMANN, BAILEY ANNE (MSW)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:ANNE
Last Name:BOHRMANN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 N HILTON PARK RD
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-9424
Mailing Address - Country:US
Mailing Address - Phone:616-843-1812
Mailing Address - Fax:
Practice Address - Street 1:700 N HILTON PARK RD
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-9424
Practice Address - Country:US
Practice Address - Phone:616-843-1812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011059161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty