Mr Mark Andrew Small, LMSW | |
19291 Northline Rd, Southgate, MI 48195-2220 | |
(734) 287-1500 | |
(734) 287-1660 |
Full Name | Mr Mark Andrew Small |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 34 Years |
Location | 19291 Northline Rd, Southgate, 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 |
---|---|---|---|
1649430653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801057010 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Guidance Center | 8022171735 | 30 |
Entity Name | Western Wayne Family Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972530277 PECOS PAC ID: 4082617998 Enrollment ID: O20060926000287 |
Entity Name | The Guidance Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609947027 PECOS PAC ID: 8022171735 Enrollment ID: O20090107000136 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Andrew Small, LMSW 5105 Prentis Dr, Troy, MI 48085-3483 Ph: (248) 526-2859 | Mr Mark Andrew Small, LMSW 19291 Northline Rd, Southgate, MI 48195-2220 Ph: (734) 287-1500 |
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 |