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: August 09, 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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
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
Counselor (Mental Health)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Counselor (Professional)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Assistant Behavior Analyst
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Counselor (Mental Health)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Social Worker
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Menta Back's NPI number?

The NPI number for Menta Back is 1235846502. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Menta Back located?

Menta Back practices at 1505 Waterford Pkwy, Saint Johns, MI 48879. The listed phone number is (989) 292-3572.

What is Menta Back's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Menta Back was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.