Alicia Jeorge Travis, LMSW | |
5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197 | |
(734) 712-3980 | |
Not Available |
Full Name | Alicia Jeorge Travis |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5333 Mcauley Dr, Ypsilanti, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043774565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801096543 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801109310 (Michigan) | Primary |
Entity Name | Richard Kneip, Ph.d., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20080731000086 |
Mailing Address | Practice Location Address |
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Alicia Jeorge Travis, LMSW 8122 Jack Pine Dr, Ypsilanti, MI 48197-7530 Ph: (734) 474-3743 | Alicia Jeorge Travis, LMSW 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197 Ph: (734) 712-3980 |
Jasmin Ashakih, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2488 Golfside Rd, Ypsilanti, MI 48197 Phone: 734-709-6205 | |
Kia Sweeney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1740 Cliffs Lndg Apt 202, Ypsilanti, MI 48198 Phone: 313-485-8397 | |
Mrs. Rosalind Mackraz Dieterich, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2900 Packard Rd, Suite 1, Ypsilanti, MI 48197 Phone: 734-528-9703 Fax: 734-572-8866 | |
J'mae Ferguson, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-3050 Fax: 734-544-6732 | |
Jessica Katz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 127 N Washington St, Ypsilanti, MI 48197 Phone: 734-682-5544 | |
Pamela Sue Barron, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 555 Towner, Washtenaw County, Ypsilanti, MI 48198 Phone: 734-544-3000 |