Cassandra Bouchard, LLMSW | |
4413 Corunna Rd, Flint, MI 48532-4321 | |
(810) 733-5735 | |
Not Available |
Full Name | Cassandra Bouchard |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4413 Corunna Rd, Flint, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164988473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801103810 (Michigan) | Primary |
Entity Name | Independent Behavioral Health Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437685856 PECOS PAC ID: 1759658966 Enrollment ID: O20170518001226 |
Mailing Address | Practice Location Address |
---|---|
Cassandra Bouchard, LLMSW 2361 E Tobias Rd, Clio, MI 48420-7904 Ph: (810) 625-2490 | Cassandra Bouchard, LLMSW 4413 Corunna Rd, Flint, MI 48532-4321 Ph: (810) 733-5735 |
Danielle S. Lied, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2830 Corunna Rd, Flint, MI 48503 Phone: 810-235-6812 | |
Jessica Knopp, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1420 University Ave, Flint, MI 48504 Phone: 810-238-0475 | |
Chanceya Nachelle Shelton, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 529 Martin Luther King Blvd, Flint, MI 48502 Phone: 810-238-7226 Fax: 810-239-5518 | |
Mr. Ryan Christopher Ploch, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2830 Corunna Rd, Flint, MI 48503 Phone: 810-235-6812 | |
Ms. Dammiona Nicole Cromedy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Suite 108, Flint, MI 48503 Phone: 810-232-2766 | |
Mrs. Vicki Lynn Tims, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 W 5th Ave, Flint, MI 48503 Phone: 810-496-5330 Fax: 810-762-5234 | |
Kimberly Ann Campbell, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2702 Flushing Rd, Flint, MI 48504 Phone: 810-424-5998 Fax: 810-424-6347 |