Provider Demographics
NPI:1750576773
Name:COUREY, SCOTT ANDREW (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:ANDREW
Last Name:COUREY
Suffix:
Gender:M
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 W 8TH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-2708
Mailing Address - Country:US
Mailing Address - Phone:616-394-4287
Mailing Address - Fax:
Practice Address - Street 1:36 W 8TH ST STE 250
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-2708
Practice Address - Country:US
Practice Address - Phone:616-394-4287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010649891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical