Provider Demographics
NPI:1871928358
Name:WESTSTRATE, DINAH MARY (LMSW)
Entity type:Individual
Prefix:
First Name:DINAH
Middle Name:MARY
Last Name:WESTSTRATE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13741 W EATON HWY
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-9607
Mailing Address - Country:US
Mailing Address - Phone:517-667-8157
Mailing Address - Fax:
Practice Address - Street 1:325 E GRAND LEDGE HWY
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-9735
Practice Address - Country:US
Practice Address - Phone:517-667-8157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801091196104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker