Letizia Marie Charleston, LMSW | |
920 Diana St, Ludington, MI 49431-1987 | |
(231) 845-6294 | |
(231) 845-7095 |
Full Name | Letizia Marie Charleston |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 30 Years |
Location | 920 Diana St, Ludington, 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 |
---|---|---|---|
1386923746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801062394 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harbour Towne Health Pllc | 3577861749 | 11 |
Entity Name | Harbour Towne Health Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649647876 PECOS PAC ID: 3577861749 Enrollment ID: O20160421000920 |
Entity Name | Lakeshore Integrative Mental Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447644471 PECOS PAC ID: 8022371491 Enrollment ID: O20180417002105 |
Mailing Address | Practice Location Address |
---|---|
Letizia Marie Charleston, LMSW 131 W Seaway Dr, Ste 200, Norton Shores, MI 49444-3761 Ph: (231) 375-8065 | Letizia Marie Charleston, LMSW 920 Diana St, Ludington, MI 49431-1987 Ph: (231) 845-6294 |
Sara Durand, BSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Brooke Taylor, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
James Michael Foley, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Alicia M Kaja, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5705 W Johnson Rd, Ludington, MI 49431 Phone: 231-425-4414 | |
Mr. Barry Alan Blacktop, MA, CSW, LLP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Lisa A Bradley, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 409 W Ludington Ave, Suite 307, Ludington, MI 49431 Phone: 231-843-8877 Fax: 231-845-0264 | |
Marie Agnes Jensen, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 |