| Destiny Rae Ventimiglia, LMSW | |
|
38800 Garfield Rd Ste 100, Clinton Township, MI 48038-6619 | |
| (586) 231-0306 | |
| Not Available |
| Full Name | Destiny Rae Ventimiglia |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 38800 Garfield Rd Ste 100, Clinton Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215502265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801109737 (Michigan) | Primary |
| Entity Name | Psychological Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518329671 PECOS PAC ID: 5799110334 Enrollment ID: O20200108003135 |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Rae Ventimiglia, LMSW 38800 Garfield Rd Ste 100, Clinton Township, MI 48038-6619 Ph: (586) 231-0306 | Destiny Rae Ventimiglia, LMSW 38800 Garfield Rd Ste 100, Clinton Township, MI 48038-6619 Ph: (586) 231-0306 |
Amy Zauel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43211 Dalcoma Dr Ste 7, Clinton Township, MI 48038 Phone: 586-421-4513 | |
Renee Lavigne, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43740 N Groesbeck Hwy, Clinton Township, MI 48036 Phone: 586-469-7629 Fax: 586-469-5404 | |
Evelyn Carole Gauthier, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35455 Garfield Rd, #c, Clinton Township, MI 48035 Phone: 586-792-5335 Fax: 586-792-3061 | |
Carolynne Vanderveen, LLMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16200 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-676-7975 | |
Nicholas Denault, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21885 Dunham Rd, Clinton Township, MI 48036 Phone: 586-469-6999 | |
Maleah Lynn Montney, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42669 Garfield Rd, Clinton Township, MI 48038 Phone: 586-412-5321 | |
Angelina Renee Urbin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44899 Centre Ct, Suite 102, Clinton Township, MI 48038 Phone: 586-792-1654 |