Mr Henry Clay Tidwell, LMSW-CSW | |
1375 N Main St, Lapeer, MI 48446-1350 | |
(810) 667-5500 | |
Not Available |
Full Name | Mr Henry Clay Tidwell |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 29 Years |
Location | 1375 N Main St, Lapeer, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518949312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801070986 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hurley Medical Center | 2961308481 | 262 |
Entity Name | Hurley Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457571200 PECOS PAC ID: 2961308481 Enrollment ID: O20031212000376 |
Mailing Address | Practice Location Address |
---|---|
Mr Henry Clay Tidwell, LMSW-CSW 1375 N Main St, Lapeer, MI 48446-1350 Ph: (810) 667-5500 | Mr Henry Clay Tidwell, LMSW-CSW 1375 N Main St, Lapeer, MI 48446-1350 Ph: (810) 667-5500 |
Barbara Vanlandeghem, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 N Court St, Suite 205, Lapeer, MI 48446 Phone: 810-667-4500 Fax: 810-667-4512 | |
Ms. Youlanda M Leidlein, LMSW-CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5500 | |
Danielle A Giles, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 Fax: 810-664-8728 | |
Emily Thompson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 624 W Nepessing St Ste 300, Lapeer, MI 48446 Phone: 810-667-4500 | |
Kimberly Ann Crawford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 | |
Mr. Clifford Stevens, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 | |
Dawn Watters, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 Fax: 810-664-8728 |