Individual provider · Type 1 NPI

Becky Lynn Haderer

Clinical Social Worker · Jenison, MI

NPI number 1700793205 Active

Practice location

1354 Baldwin St Ste 106
Jenison, MI 49428-7805

Mailing address

901 Calvin Ave SE
Grand Rapids, MI 49506-3232

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851122783 (MI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1700793205

Becky Lynn Haderer's National Provider Identifier is 1700793205, issued on Aug 27, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jenison, MI. The record was last updated on Aug 27, 2026.