Holly Jean Lago, LMSW | |
677 E Main St Ste A, Centreville, MI 49032-8525 | |
(269) 467-1000 | |
Not Available |
Full Name | Holly Jean Lago |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 677 E Main St Ste A, Centreville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235781121 | NPI | - | NPPES |
Entity Name | Community Mental Health Services Of St Joseph County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366438483 PECOS PAC ID: 9032178496 Enrollment ID: O20041011000172 |
Mailing Address | Practice Location Address |
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Holly Jean Lago, LMSW 677 E Main St Ste A, Centreville, MI 49032-8525 Ph: (269) 467-1000 | Holly Jean Lago, LMSW 677 E Main St Ste A, Centreville, MI 49032-8525 Ph: (269) 467-1000 |
Shelly Bixler-martin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677 E Main St, Centreville, MI 49032 Phone: 269-467-1001 | |
Grae Mackenzie Miller, LLMSW,DP-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 677 E Main St, Centreville, MI 49032 Phone: 269-467-1000 | |
Mr. Thomas M Spirito, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677a East Main, Centreville, MI 49032 Phone: 269-467-1000 | |
Mrs. Elizabeth Ann O'dell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677a East Main, Centreville, MI 49032 Phone: 269-467-1000 | |
Jodi Anne Lytle, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677 E Main St Ste A, Centreville, MI 49032 Phone: 269-467-1000 Fax: 269-467-3072 | |
Mrs. Stacy M Linihan, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 658 East Main, Centreville, MI 49032 Phone: 269-467-3228 | |
Mrs. Angela Nichoele Johnson, LLPC, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677a East Main, Centreville, MI 49032 Phone: 269-467-1000 |