Brandon Dale Mitchell, LMSW | |
3380 44th St Sw, Grandville, MI 49418-2461 | |
(616) 685-8250 | |
(616) 532-3564 |
Full Name | Brandon Dale Mitchell |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3380 44th St Sw, Grandville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568087948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801106936 (Michigan) | Primary |
Entity Name | Advantage Health/saint Mary's Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
Mailing Address | Practice Location Address |
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Brandon Dale Mitchell, LMSW 2655 Grand Castle Blvd Sw Apt W801, Grandville, MI 49418-1952 Ph: (616) 990-5547 | Brandon Dale Mitchell, LMSW 3380 44th St Sw, Grandville, MI 49418-2461 Ph: (616) 685-8250 |
Arielle Saracinello, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4370 Chicago Dr Sw # 515, Grandville, MI 49418 Phone: 616-287-2283 Fax: 616-585-0148 | |
Miss Angela Lalynn Matthews, LLMSW-CLINICAL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3181 Prairie St Sw Ste 114, Grandville, MI 49418 Phone: 616-256-0196 | |
Kimberley Joanne Vanhaitsma, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 Vermont Ave Sw, Grandville, MI 49418 Phone: 616-446-7240 | |
Alena Kenyon, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4211 Parkway Place Dr Sw, Grandville, MI 49418 Phone: 616-222-3700 Fax: 616-455-5960 | |
Lori Strehler, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4250 Chicago Dr Sw Ste B, Grandville, MI 49418 Phone: 616-805-3660 | |
Mandi Rae Hyson, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4565 Wilson Ave Sw Ste 1a, Grandville, MI 49418 Phone: 616-591-9000 Fax: 616-591-9060 | |
Ashley Elizabeth Houdek, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3050 Ivanrest Ave Sw Ste D, Grandville, MI 49418 Phone: 616-481-3784 |