MENTA NICHOLE BACK LLMSW
NPI 1235846502
Social Worker - Clinical in Saint Johns, MI

Active since November 04, 2022
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879(989) 292-3572 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Menta Nichole Back Llmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENTA NICHOLE BACK LLMSW (NPI 1235846502) is an individual clinical provider in Saint Johns, Michigan and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1235846502
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMENTA NICHOLE BACKCredential: LLMSW
Location Address1505 WATERFORD PKWYSaint Johns, MI 48879-9630
Mailing Address1505 Waterford PkwySaint Johns, MI 48879-9630 · (989) 292-3572
Sole ProprietorNo
Enumeration DateNovember 4, 2022
NPPES CertifiedNovember 4, 2022
NPI 1235846502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1505 WATERFORD PKWY, Saint Johns, MI 48879

Other Identifiers 1

Medicaid1871931055MI

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Social Worker
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Social Worker (Clinical)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Psychologist (Clinical)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Psychologist
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Social Worker (Clinical)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Counselor (Mental Health)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Counselor (Professional)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Hearing Instrument Specialist
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Psychologist
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Social Worker
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Counselor (Mental Health)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Counselor (Professional)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Social Worker (Clinical)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Counselor (Mental Health)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Counselor (Professional)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Internal Medicine
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Family Medicine
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Psychologist
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Social Worker (Clinical)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235846502, enumerated as an "individual" on November 04, 2022.

The provider is located at 1505 WATERFORD PKWY SAINT JOHNS, MI 48879 and the phone number is (989) 292-3572.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.