Caitlin Sulfridge, LMSW | |
650 Stewart Rd, Monroe, MI 48162-4222 | |
(734) 240-8430 | |
(734) 240-8495 |
Full Name | Caitlin Sulfridge |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 650 Stewart Rd, Monroe, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194196261 | NPI | - | NPPES |
1154661056 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
104100000X | Social Worker | 6801093725 (Michigan) | Primary |
Entity Name | Thunder Bay Community Health Service Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629107552 PECOS PAC ID: 0143296772 Enrollment ID: O20040907000045 |
Entity Name | Mercy Memorial Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811097223 PECOS PAC ID: 7012811615 Enrollment ID: O20061212000299 |
Mailing Address | Practice Location Address |
---|---|
Caitlin Sulfridge, LMSW 1 Seagate Ste 800, Toledo, OH 43604-1558 Ph: (734) 240-8430 | Caitlin Sulfridge, LMSW 650 Stewart Rd, Monroe, MI 48162-4222 Ph: (734) 240-8430 |
Crystal Palmer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-243-7340 | |
Kyleigh Petersen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-384-0083 | |
Mr. Mark G. Haskins, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2092 S Custer Rd, Monroe, MI 48161 Phone: 734-457-2161 Fax: 734-457-4146 | |
Jennifer Burrous, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-243-7340 | |
Mrs. Holly Fiedler, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2092 S Custer Rd, Monroe, MI 48161 Phone: 734-457-2161 Fax: 734-457-4146 | |
Mrs. Lynne M Fogle, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 S Monroe St Ste 205, Monroe, MI 48161 Phone: 734-240-3850 Fax: 734-240-3863 | |
Grace Sambiagio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-384-0240 |