Nancy L Hale-dickson (NPI# 1407940992, PAC ID# 2264691658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1407940992 |
| PAC ID by PECOS | 2264691658 |
| Professional Enrollment ID | I20120303000025 |
| Full Name | Nancy L Hale-dickson |
| Organization Legal Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Address |
300 68th St Se Grand Rapids MI 49501-6927 |
| Phone Number | 6164555000 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4981506508 |
| Number of Group Practice Members | 224 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 68th St Se, Grand Rapids, MI 49501-6927 | 6164555000 | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Organization Legal Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Physicians | 326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faith J Huyck | Nurse Practitioner | Pine Rest Christian Mental Health Services | 1050 Silver Dr, Traverse City, MI 49684-5749 |
| Morgan K Bailey | Nurse Practitioner | Pine Rest Christian Mental Health Services | 2118 3 Mile Nwrd, Grand Rapids, MI 49544-1425 |
| Justin D Sides | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Pine Rest Northwest Clinic, Grand Rapids, MI 49544-1452 |
| Colette R Purucker | Clinical Social Worker | Pine Rest Christian Mental Health Services | 450 Meadow Run Dr, Hastings, MI 49058-9053 |
| Diana B Ro | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Dr Sw, Grandville, MI 49418-2695 |
| Joshua A Godfrey | Clinical Social Worker | Pine Rest Christian Mental Health Services | 320 Commerce Ave Sw, Pine Rest Demay Clinic, Grand Rapids, MI 49503-4110 |
| Therese L Boggiano | Nurse Practitioner | Pine Rest Christian Mental Health Services | 926 Washington Ave, Holland, MI 49423-7725 |
| Carey A Cutcher | Clinical Social Worker | Pine Rest Christian Mental Health Services | 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Lindsay M Fikkert | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 2611 Washington St, Pella, IA 50219-7924 |
| Christine A Mushlock | Clinical Social Worker | Pine Rest Christian Mental Health Services | 877 Forest Hills Ave Se, Pine Rest Forest Hills Clinic, Grand Rapids, MI 49546 |
| Street Address |
300 68TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49501-6927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Constance L Devantier | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Tamara D Spears | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Sonia M Shariff | Psychiatry | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Kimberly C Eccher | Physician Assistant | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Amy J Laurent | Psychiatry | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Sabreen Rae Polavin | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Christopher M Bouma | Nurse Practitioner | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Michelle J Berry | Physician Assistant | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Rachel A Mcwilliams | Physician Assistant | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Sera A Gruszka | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya M Vanderveen | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Kymbra R Hansen Duell | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Amy L Vandentoorn | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Gale A Dunn Volkerding | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Adelyn D Vantol | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Rebecca M Doane | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| James P Fongers | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Kathryn A Ploeger | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Nancy L Hart | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Tracey M Gort | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Find all physicians in zip 49501 | |||
| City | GRAND RAPIDS |
| Zip Code | 49501 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GRAND RAPIDS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Nancy L Hale-dickson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.