Jennifer Derwin, MSW | |
1049 E Newell St, White Cloud, MI 49349-8795 | |
(231) 689-7330 | |
Not Available |
Full Name | Jennifer Derwin |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1049 E Newell St, White Cloud, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407391030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801100078 (Michigan) | Primary |
Entity Name | Lj Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174134654 PECOS PAC ID: 9537589593 Enrollment ID: O20201014000832 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Derwin, MSW 1049 E Newell St, Po Box 867, White Cloud, MI 49349-8795 Ph: (231) 689-7330 | Jennifer Derwin, MSW 1049 E Newell St, White Cloud, MI 49349-8795 Ph: (231) 689-7330 |
Kristin E Brookhouse, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1049 E Newell St, White Cloud, MI 49349 Phone: 231-215-8069 | |
Mrs. Kailey Lapres Peterson, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1049 E Newell St, White Cloud, MI 49349 Phone: 231-689-7330 Fax: 231-689-7345 | |
Sarah Chvala, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1049 E Newell St, White Cloud, MI 49349 Phone: 231-689-7330 | |
Nicole Rae Zimmerman, LLMSW, IMH-E (II) Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1049 E Newell St, White Cloud, MI 49349 Phone: 231-689-7330 Fax: 231-689-7345 | |
Mr. Kenneth L Richmond, L.M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1049 E Newell St, Box 867, White Cloud, MI 49349 Phone: 231-689-7330 Fax: 231-689-7345 | |
Monica Rae Lyon, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1049 E Newell St, White Cloud, MI 49349 Phone: 231-689-7330 | |
Kaylee N Carr, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 555 E Wilcox Ave, White Cloud, MI 49349 Phone: 231-689-3268 Fax: 231-689-1030 |