Provider Demographics
NPI:1043267131
Name:BAERMAN-SKIEF, RACHELLE (LLMSW)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:
Last Name:BAERMAN-SKIEF
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:RACHELLE
Other - Middle Name:
Other - Last Name:BAERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMSW
Mailing Address - Street 1:PO BOX 2257
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-0357
Mailing Address - Country:US
Mailing Address - Phone:517-346-8410
Mailing Address - Fax:517-346-8291
Practice Address - Street 1:2172 COMMONS PKWY STE C
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3986
Practice Address - Country:US
Practice Address - Phone:517-819-5654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010876791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical