Mr. Travis John Vanderlist
Clinical Social Worker
1500 Weiss St
Saginaw
, Michigan 48602-5251
Mr. Travis John Vanderlist
Clinical Social Worker
1500 Weiss St
Saginaw
, Michigan 48602-5251
(517) 303-3969
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mr. Travis John Vanderlist
- 311 Oxford Rd
- East Lansing, MI
- Zip : 48823-2628
- Phone : (517) 303-3969
Second Address
- Mr. Travis John Vanderlist
- 1500 Weiss St
- Saginaw, MI
- Zip : 48602-5251
- Fax : (989) 321-4922
- Phone : (989) 497-2500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 6801090423 | MI |
National Provider Identifier
| NPI | 1003155219 |
|---|---|
| Provider Name | Mr. Travis John Vanderlist |
| First Address | East Lansing, MI 48823-2628 |
| Second Address | Saginaw, MI 48602-5251 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2013 |
| Last Update Date | 07/02/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.