Desiree Andersen, | |
4120 Chicago Dr Sw Ste 1, Grandville, MI 49418-1281 | |
(616) 818-5920 | |
Not Available |
Full Name | Desiree Andersen |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4120 Chicago Dr Sw Ste 1, 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 |
---|---|---|---|
1487031258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801096051 (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 6801096051 (Michigan) | Primary |
Entity Name | Pine Rest Christian Mental Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922019157 PECOS PAC ID: 4981506508 Enrollment ID: O20040123000787 |
Entity Name | Counseling Center Of West Michigan Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437610730 PECOS PAC ID: 9234469255 Enrollment ID: O20190918000332 |
Mailing Address | Practice Location Address |
---|---|
Desiree Andersen, 4120 Chicago Dr Sw Ste 1, Grandville, MI 49418-1281 Ph: () - | Desiree Andersen, 4120 Chicago Dr Sw Ste 1, Grandville, MI 49418-1281 Ph: (616) 818-5920 |
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 |