Provider Demographics
NPI:1285234013
Name:AHRENS, CHERYL KARTUB (LMSW, ACSW)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:KARTUB
Last Name:AHRENS
Suffix:
Gender:F
Credentials:LMSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 PLAINFIELD AVE NE STE 100
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-2087
Mailing Address - Country:US
Mailing Address - Phone:616-279-3869
Mailing Address - Fax:
Practice Address - Street 1:5005 PLAINFIELD AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-2087
Practice Address - Country:US
Practice Address - Phone:616-279-3869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical