Provider Demographics
NPI:1962957787
Name:ZELINSKY, MEGAN MICHELE (LMSW, MPA, CAADC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MICHELE
Last Name:ZELINSKY
Suffix:
Gender:F
Credentials:LMSW, MPA, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 LYON ST NE # 2
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-3445
Mailing Address - Country:US
Mailing Address - Phone:248-760-1566
Mailing Address - Fax:
Practice Address - Street 1:730 GRANDVILLE AVE SW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-4920
Practice Address - Country:US
Practice Address - Phone:616-685-8424
Practice Address - Fax:616-685-8403
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010965931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical