Provider Demographics
NPI:1215658851
Name:GIESE, LIAN (MSW)
Entity type:Individual
Prefix:
First Name:LIAN
Middle Name:
Last Name:GIESE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11304 EDGEWATER DR STE D
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49401-8499
Mailing Address - Country:US
Mailing Address - Phone:616-892-1070
Mailing Address - Fax:616-892-1073
Practice Address - Street 1:11304 EDGEWATER DR STE D
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:MI
Practice Address - Zip Code:49401-8499
Practice Address - Country:US
Practice Address - Phone:616-892-1070
Practice Address - Fax:616-892-1073
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511147281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical