| Mr Michael D Soukup, LMSW | |
|
40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | |
| (616) 356-6285 | |
| (616) 732-6392 |
| Full Name | Mr Michael D Soukup |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 40 Jefferson Ave Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629112933 | NPI | - | NPPES |
| 7509106890 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801019792 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael D Soukup, LMSW 1681 Wolverine St, Holland, MI 49423-6741 Ph: (616) 335-2820 | Mr Michael D Soukup, LMSW 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 Ph: (616) 356-6285 |
Jillian Leigh Murray, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000 | |
Mrs. Sarah Lynn Bylsma, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1471 Grace St Se, Grand Rapids, MI 49506 Phone: 616-913-2006 Fax: 616-913-2005 | |
Ashleigh Smith, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3351 Claystone St Se Ste G32, Grand Rapids, MI 49546 Phone: 510-495-0756 | |
Diana Duarte-menendez, MSW 6851109554 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 790 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 616-336-3909 | |
Mrs. Rebecca Joy Back, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 269-929-7342 | |
Ms. Joanne Martha Reen, MSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1939 S Division Ave, Family Outreach Center, Grand Rapids, MI 49507 Phone: 616-247-3815 Fax: 616-245-0450 | |
Lenin Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 790 Fuller Ne, Grand Rapids, MI 49503 Phone: 616-304-7768 |