Provider Demographics
NPI:1215055520
Name:FELT, SANDRA L (LMSW)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:L
Last Name:FELT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:L
Other - Last Name:BILLEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:203 W JOHANNAH ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49461-1708
Mailing Address - Country:US
Mailing Address - Phone:231-893-2575
Mailing Address - Fax:
Practice Address - Street 1:837 SEMINOLE RD
Practice Address - Street 2:STE 200
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49441-6734
Practice Address - Country:US
Practice Address - Phone:231-737-1213
Practice Address - Fax:231-737-1218
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010591261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical