Kevin Kinsel, LMSW | |
407 Livernois St, Ferndale, MI 48220-2385 | |
(586) 291-8769 | |
Not Available |
Full Name | Kevin Kinsel |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 407 Livernois St, Ferndale, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942567177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801058919 (Michigan) | Primary |
Entity Name | Open Door Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295239416 PECOS PAC ID: 7315295649 Enrollment ID: O20180802002999 |
Mailing Address | Practice Location Address |
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Kevin Kinsel, LMSW 34764 E Lake Dr, Harrison Township, MI 48045-3332 Ph: (586) 291-8769 | Kevin Kinsel, LMSW 407 Livernois St, Ferndale, MI 48220-2385 Ph: (586) 291-8769 |
Shelby Jacquemain, LMSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3138 Hilton Rd, Ferndale, MI 48220 Phone: 248-232-2555 | |
Taylor Bryant, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23231 Woodward Ave, Ferndale, MI 48220 Phone: 248-581-8777 | |
Kelsie Marissa Thorne, M.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 290 W 9 Mile Rd, Ferndale, MI 48220 Phone: 732-986-7513 | |
Spencer Graye Genrich, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23231 Woodward Ave, Ferndale, MI 48220 Phone: 248-581-8777 | |
Mark Mcmillan, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 800 Hilton Rd Ste 1, Ferndale, MI 48220 Phone: 248-907-0247 Fax: 248-282-5350 | |
Matthew Daniel Clinton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1603 E 9 Mile Rd, Ferndale, MI 48220 Phone: 248-716-0690 | |
Deanna Marie Widenhofer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10300 W 8 Mile Rd, Ferndale, MI 48220 Phone: 248-691-4828 |