Elizabeth Jane Ingraham, LMSW | |
611 N State St, Stanton, MI 48888-9702 | |
(989) 831-7520 | |
(989) 831-7578 |
Full Name | Elizabeth Jane Ingraham |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 611 N State St, Stanton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447303847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801084729 (Michigan) | Primary |
Entity Name | Montcalm Care Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710074448 PECOS PAC ID: 8123000932 Enrollment ID: O20040623001391 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Jane Ingraham, LMSW 611 N State St, Stanton, MI 48888-9702 Ph: (989) 831-7520 | Elizabeth Jane Ingraham, LMSW 611 N State St, Stanton, MI 48888-9702 Ph: (989) 831-7520 |
Jennifer Marie Bauer, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Julianna Marie Kozara, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Allyssa Nicole Martineau, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7620 Fax: 989-831-7578 | |
Aubrie Thornton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 | |
Linda Marie Norkey, LPC, CAAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Amanda Marie Hartman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Tanya Douglas, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 |