Melissa Renee Chivis, LMSW | |
23231 Woodward Ave, Ferndale, MI 48220-1361 | |
(248) 581-8777 | |
(888) 975-9374 |
Full Name | Melissa Renee Chivis |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 23231 Woodward Ave, 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 |
---|---|---|---|
1902215445 | NPI | - | NPPES |
1902215445 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801104089 (Michigan) | Primary |
Entity Name | American Indian Health And Family Services Of Southeastern Mi Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366552804 PECOS PAC ID: 4587631429 Enrollment ID: O20040910001248 |
Entity Name | Fairsky Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033595665 PECOS PAC ID: 2769775386 Enrollment ID: O20160720000492 |
Mailing Address | Practice Location Address |
---|---|
Melissa Renee Chivis, LMSW 23231 Woodward Ave, Ferndale, MI 48220-1361 Ph: (248) 581-8777 | Melissa Renee Chivis, LMSW 23231 Woodward Ave, Ferndale, MI 48220-1361 Ph: (248) 581-8777 |
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 |