Provider Demographics
NPI:1487271730
Name:VANSCHAIKMARTINET, ANITA JEAN (LLBSW)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:JEAN
Last Name:VANSCHAIKMARTINET
Suffix:
Gender:F
Credentials:LLBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42505 GARVEY ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1730
Mailing Address - Country:US
Mailing Address - Phone:586-909-0332
Mailing Address - Fax:
Practice Address - Street 1:42505 GARVEY ST
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1730
Practice Address - Country:US
Practice Address - Phone:586-909-0332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802088682104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker