Jason Michael Gilliam, LMSW | |
12990 Ontonagon Dr, Dewitt, MI 48820-8658 | |
(517) 202-3022 | |
Not Available |
Full Name | Jason Michael Gilliam |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 12990 Ontonagon Dr, Dewitt, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083947832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801096929 (Michigan) | Primary |
Entity Name | Community Mental Health Authority Of Clinton Eaton Ingham Counties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265483457 PECOS PAC ID: 2668376732 Enrollment ID: O20031120000868 |
Mailing Address | Practice Location Address |
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Jason Michael Gilliam, LMSW 12990 Ontonagon Dr, Dewitt, MI 48820-8658 Ph: (517) 202-3022 | Jason Michael Gilliam, LMSW 12990 Ontonagon Dr, Dewitt, MI 48820-8658 Ph: (517) 202-3022 |
Mrs. Rosie Spagnuolo Bickert, MSW, LMSW, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1904 W Locher Rd, Dewitt, MI 48820 Phone: 517-490-7712 Fax: 517-669-1939 | |
Ms. Sarah Beth Bannon, MSW, LMSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12951 Chartreuse Dr, Dewitt, MI 48820 Phone: 517-669-5532 Fax: 517-669-5532 | |
Mrs. Anna Margaret O'rourke, LMSW, CAADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13191 Schavey Rd Ste 3, Dewitt, MI 48820 Phone: 989-227-3344 Fax: 517-669-9839 | |
Brianne Dangc, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 126 E Main St, Dewitt, MI 48820 Phone: 517-449-4162 Fax: 888-524-3718 | |
Mrs. Jeaneen Stephansky, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 244 W Brunswick Dr, Dewitt, MI 48820 Phone: 517-337-2972 Fax: 517-349-1973 |