Colette Purucker, LMSW | |
100 S Jefferson St B, Hastings, MI 49058-4905 | |
(269) 331-0283 | |
Not Available |
Full Name | Colette Purucker |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 100 S Jefferson St B, Hastings, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255852091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801091270 (Michigan) | Primary |
Entity Name | Purucker Counseling Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215507090 PECOS PAC ID: 2264834019 Enrollment ID: O20210715002771 |
Mailing Address | Practice Location Address |
---|---|
Colette Purucker, LMSW 816 S Church St, Hastings, MI 49058-2212 Ph: () - | Colette Purucker, LMSW 100 S Jefferson St B, Hastings, MI 49058-4905 Ph: (269) 331-0283 |
June Wright, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Barfield Dr, Hastings, MI 49058 Phone: 269-948-8041 | |
Molly Faith Blackburn, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 W South St, Hastings, MI 49058 Phone: 616-267-0785 | |
Chadwick G Boehm, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Barfield Dr, Hastings, MI 49058 Phone: 269-948-8041 Fax: 269-948-9319 | |
Noel Gladding, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5864 Apache Trl, Hastings, MI 49058 Phone: 616-438-4639 | |
Ms. Beverly J. Wood, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Barfield Dr, Hastings, MI 49058 Phone: 269-948-8041 Fax: 269-948-3916 | |
Mrs. Renee Curcuro, MSW CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 500 Barfield Dr, Hastings, MI 49058 Phone: 269-948-8041 Fax: 269-948-9319 |