Jacquelyn Aurora Thomas, LLMSW | |
4433 Byron Center Ave Sw Ste C, Wyoming, MI 49519-4844 | |
(616) 279-1551 | |
Not Available |
Full Name | Jacquelyn Aurora Thomas |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4433 Byron Center Ave Sw Ste C, Wyoming, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144833468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 6801106889 (Michigan) | Primary |
Entity Name | Portal Point Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689134074 PECOS PAC ID: 5698002418 Enrollment ID: O20190815003225 |
Mailing Address | Practice Location Address |
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Jacquelyn Aurora Thomas, LLMSW 2178 Byron Shores Dr Sw, Byron Center, MI 49315-8087 Ph: () - | Jacquelyn Aurora Thomas, LLMSW 4433 Byron Center Ave Sw Ste C, Wyoming, MI 49519-4844 Ph: (616) 279-1551 |
Abigail Berkey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 507 36th St Se, Wyoming, MI 49548 Phone: 616-247-4580 Fax: 616-247-4590 | |
Andrea Rose Brouwer, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6105 Wilson Ave Sw Ste 202, Wyoming, MI 49418 Phone: 616-486-5299 | |
Noelia Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1055 Gezon Pkwy Sw, Wyoming, MI 49509 Phone: 616-773-2908 | |
Kevin Sleboda, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3353 Lousma Dr Se, Wyoming, MI 49548 Phone: 616-241-6258 Fax: 616-241-6470 | |
Tanya Michelle Vanderveen, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6105 Wilson Ave Sw Ste 202, Wyoming, MI 49418 Phone: 616-486-5299 | |
Ms. Kristen Nicole Vet, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 Colrain St Sw, Suite 2, Wyoming, MI 49548 Phone: 616-284-4158 | |
Ashley Kate Yancho, LMSW, CAADC, MPA Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1845 Rw Berends Dr Sw, Wyoming, MI 49519 Phone: 616-303-3917 |