Jennifer Jereckos, LLMSW | |
340 N Main St Ste 200, Plymouth, MI 48170-1250 | |
(734) 335-0028 | |
Not Available |
Full Name | Jennifer Jereckos |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 340 N Main St Ste 200, Plymouth, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760140677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6851105154 (Michigan) | Primary |
Entity Name | Simply Mindful Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851900302 PECOS PAC ID: 6800282963 Enrollment ID: O20220330000870 |
Mailing Address | Practice Location Address |
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Jennifer Jereckos, LLMSW 105 Clair St, Mount Clemens, MI 48043-1707 Ph: (586) 565-0039 | Jennifer Jereckos, LLMSW 340 N Main St Ste 200, Plymouth, MI 48170-1250 Ph: (734) 335-0028 |
Mrs. Ann Martin Schueller, L.M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 159 S Harvey St, Plymouth, MI 48170 Phone: 248-842-5323 | |
Ms. Tyler James Pollack, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 N Main St, Suite 300, Plymouth, MI 48170 Phone: 734-546-3833 | |
Cora Marie Kutnick, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 496 W Ann Arbor Trl Ste 202, Plymouth, MI 48170 Phone: 734-414-1373 | |
Ms. Kathleen Price Irvin, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 340 N Main St, Plymouth, MI 48170 Phone: 734-454-3560 | |
Adriana Petrucci, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1308 S Main St, Plymouth, MI 48170 Phone: 734-451-3400 | |
Cynthia Barnwell, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 409 Plymouth Rd, Ste 190, Plymouth, MI 48170 Phone: 734-454-3560 | |
Anna Schankowski, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9409 N Haggerty Rd, Plymouth, MI 48170 Phone: 734-559-3540 Fax: 734-667-3925 |