Johne L Datema, LMSW | |
500 S 3rd Ave, Big Rapids, MI 49307-9501 | |
(231) 796-5825 | |
Not Available |
Full Name | Johne L Datema |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 6 Years |
Location | 500 S 3rd Ave, Big Rapids, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841757499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801103312 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801110243 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Mental Health For Central Michigan | 4688660533 | 42 |
Entity Name | Community Mental Health For Central Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881622892 PECOS PAC ID: 4688660533 Enrollment ID: O20040424000125 |
Mailing Address | Practice Location Address |
---|---|
Johne L Datema, LMSW 21020 Lake Montcalm Rd, Howard City, MI 49329-7900 Ph: (231) 360-5996 | Johne L Datema, LMSW 500 S 3rd Ave, Big Rapids, MI 49307-9501 Ph: (231) 796-5825 |
Matthew D Bradley, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Sanborn Ave Ste B, Big Rapids, MI 49307 Phone: 231-527-5415 | |
Miss Amy Michelle Tribe, MSW, CAADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 650 Linden St Ste 1, Big Rapids, MI 49307 Phone: 231-796-3200 | |
Mrs. Barbara Anne Marek, BS, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 S 3rd Ave, Big Rapids, MI 49307 Phone: 231-796-5825 | |
Mrs. Catherine Julia Beagle, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 S 3rd Ave, Big Rapids, MI 49307 Phone: 231-796-5825 | |
Mrs. Janet Lynn Vizina-roubal, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 S 3rd Ave, Big Rapids, MI 49307 Phone: 231-796-5825 Fax: 231-796-2178 | |
Ms. Anne Catherine Nowak, LMSW, CBIS Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 Sanborn Ave Ste A, Big Rapids, MI 49307 Phone: 616-202-1506 | |
Caroline Velasquez, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 126 Maple St, Ste A, Big Rapids, MI 49307 Phone: 231-487-2446 Fax: 888-509-1505 |