Debra Williams Goniwicha, LMSW | |
22201 Moross Rd, Pb2 Ste 370, Detroit, MI 48236-2169 | |
(313) 343-7122 | |
(313) 343-7126 |
Full Name | Debra Williams Goniwicha |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 22201 Moross Rd, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871632620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801087306 (Michigan) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220824000871 |
Mailing Address | Practice Location Address |
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Debra Williams Goniwicha, LMSW 70379 Natures Way, Richmond, MI 48062-5559 Ph: () - | Debra Williams Goniwicha, LMSW 22201 Moross Rd, Pb2 Ste 370, Detroit, MI 48236-2169 Ph: (313) 343-7122 |
Mary Decarolis, LMSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-417-2769 | |
Debbie Shell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2051 W Grand Blvd, New Center Community Mental Health Services, Detroit, MI 48208 Phone: 313-961-3221 | |
Leah Welton, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 79 W Alexandrine St, Detroit, MI 48201 Phone: 313-831-5535 Fax: 313-831-2608 | |
Mrs. Sinita Hankins, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17421 Telegraph Rd, Detroit, MI 48219 Phone: 313-531-2500 | |
Yolonda Kinsey, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7310 Woodward Ave, Detroit, MI 48202 Phone: 313-896-1444 | |
Leslie Marie Wilson, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19750 Burt Rd, Detroit, MI 48219 Phone: 313-531-2500 | |
Chama Paulina Maweja, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12800 E Warren Ave, Detroit, MI 48215 Phone: 313-824-8000 |