| Marc Goldman, LMSW, LCSW | |
|
2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114-5328 | |
| (215) 606-7171 | |
| Not Available |
| Full Name | Marc Goldman |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2200 Genoa Business Park Dr Ste 100, Brighton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871258178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW023664 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801116621 (Michigan) | Primary |
| Entity Name | Downriver Mental Health Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Goldman, LMSW, LCSW 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114-5328 Ph: (517) 882-3732 | Marc Goldman, LMSW, LCSW 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114-5328 Ph: (215) 606-7171 |
Ms. Ellen Louise Codere, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114 Phone: 517-882-3732 Fax: 517-882-3633 | |
Brian Charles Todorow, LMSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8700 N 2nd St Ste 202, Brighton, MI 48116 Phone: 810-522-0785 Fax: 810-522-8155 | |
Jonah Silk, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114 Phone: 810-449-7180 Fax: 248-692-4936 | |
Amanda Magnan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 711 E Grand River Ave Ste A, Brighton, MI 48116 Phone: 810-845-2133 | |
Sarah Masalkoski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 E Grand River Ave Ste 205, Brighton, MI 48116 Phone: 989-239-0870 | |
Kelsey Lauren Wittla, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2060 Grand River Anx Ste 600, Brighton, MI 48114 Phone: 810-220-8192 Fax: 810-220-0402 | |
Thomas Scott Mitchell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12851 Grand River Rd, Brighton, MI 48116 Phone: 810-227-1211 Fax: 810-220-5509 |