Lori Susan Martin, LLMSW | |
14799 Dix Toledo Rd, Southgate, MI 48195-2507 | |
(734) 324-8326 | |
Not Available |
Full Name | Lori Susan Martin |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 14799 Dix Toledo Rd, Southgate, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538512116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 685110431 (Michigan) | Secondary |
104100000X | Social Worker | 6802087688 (Michigan) | Primary |
Entity Name | Team Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588855100 PECOS PAC ID: 2264451830 Enrollment ID: O20081030000384 |
Mailing Address | Practice Location Address |
---|---|
Lori Susan Martin, LLMSW 16750 Quarry Rd Apt C1, Southgate, MI 48195-1446 Ph: (734) 444-2731 | Lori Susan Martin, LLMSW 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (734) 324-8326 |
Shannon Baynai, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Mr. Kenneth Love Ii, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14799 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-324-8326 Fax: 734-324-8327 | |
David Copeland, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13305 Reeck Ct, Southgate, MI 48195 Phone: 734-225-2090 | |
Zahraa Saab, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14799 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-324-8326 Fax: 734-324-8327 | |
Mr. James Gerard Livingston, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Suite 400, Southgate, MI 48195 Phone: 734-785-7705 Fax: 734-785-7734 | |
Vickie Lynn Novell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Claudette Jefferson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7705 |