Provider Demographics
NPI:1962695932
Name:STEELE, MICHAEL R (LISW)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:R
Last Name:STEELE
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:MORNING SUN
Mailing Address - State:IA
Mailing Address - Zip Code:52640-0244
Mailing Address - Country:US
Mailing Address - Phone:319-385-2910
Mailing Address - Fax:319-385-2913
Practice Address - Street 1:1405 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:IA
Practice Address - Zip Code:52641-2875
Practice Address - Country:US
Practice Address - Phone:319-385-2910
Practice Address - Fax:319-385-2913
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAISW 002221041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical