Judith Patania, | |
122 Broad St # 284, Michigan Center, MI 49254-1275 | |
(517) 250-1031 | |
Not Available |
Full Name | Judith Patania |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 122 Broad St # 284, Michigan Center, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760895098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801085206 (Michigan) | Primary |
Entity Name | W.a. Foote Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326078866 PECOS PAC ID: 0244136067 Enrollment ID: O20031215000361 |
Entity Name | Pine Rest Christian Mental Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922019157 PECOS PAC ID: 4981506508 Enrollment ID: O20040123000787 |
Mailing Address | Practice Location Address |
---|---|
Judith Patania, 122 Broad St # 284, Michigan Center, MI 49254-1275 Ph: () - | Judith Patania, 122 Broad St # 284, Michigan Center, MI 49254-1275 Ph: (517) 250-1031 |
Ms. Rachele Renae Crawford, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4328 Page Ave, Michigan Center, MI 49254 Phone: 517-764-3609 | |
Robert Gerald Szymczak Jr., LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4328 Page Ave, Michigan Center, MI 49254 Phone: 734-845-5218 Fax: 734-222-7495 |