Mr Gary Gene Smith, MSW | |
1372 Borgstrom Ave, Ypsilanti, MI 48198-6405 | |
(734) 646-3581 | |
Not Available |
Full Name | Mr Gary Gene Smith |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1372 Borgstrom Ave, Ypsilanti, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306059514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801088994 (Michigan) | Primary |
Entity Name | Huron Valley Consultation Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750314027 PECOS PAC ID: 5698761161 Enrollment ID: O20040421000689 |
Mailing Address | Practice Location Address |
---|---|
Mr Gary Gene Smith, MSW 1372 Borgstrom Ave, Ypsilanti, MI 48198-6405 Ph: (734) 646-3581 | Mr Gary Gene Smith, MSW 1372 Borgstrom Ave, Ypsilanti, MI 48198-6405 Ph: (734) 646-3581 |
Caitlin Corrine Newman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6633 Stony Creek Rd, Ypsilanti, MI 48197 Phone: 734-485-8725 | |
Jasmin Ashakih, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2488 Golfside Rd, Ypsilanti, MI 48197 Phone: 734-709-6205 | |
Kia Sweeney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1740 Cliffs Lndg Apt 202, Ypsilanti, MI 48198 Phone: 313-485-8397 | |
Mrs. Rosalind Mackraz Dieterich, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2900 Packard Rd, Suite 1, Ypsilanti, MI 48197 Phone: 734-528-9703 Fax: 734-572-8866 | |
J'mae Ferguson, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-3050 Fax: 734-544-6732 | |
Jessica Katz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 127 N Washington St, Ypsilanti, MI 48197 Phone: 734-682-5544 | |
Alicia Jeorge Travis, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197 Phone: 734-712-3980 |