Mr Terry Edwards Jr, | |
5111 Auto Club Dr, 112, Dearborn, MI 48126-2749 | |
(313) 317-2000 | |
Not Available |
Full Name | Mr Terry Edwards Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 5111 Auto Club Dr, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316279821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 64500 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 6801091572 (Michigan) | Primary |
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 Terry Edwards Jr, 5111 Auto Club Dr, 112, Dearborn, MI 48126-2749 Ph: (313) 317-2000 | Mr Terry Edwards Jr, 5111 Auto Club Dr, 112, Dearborn, MI 48126-2749 Ph: (313) 317-2000 |
Manar Alasady, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6451 Schaefer Rd, Dearborn, MI 48126 Phone: 313-945-8138 | |
Erin Benay Martinez-gilliard, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120 Phone: 313-429-3766 Fax: 313-406-6433 | |
Terri Cole Pilarski, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22300 Cherry Hill St, Dearborn, MI 48124 Phone: 847-922-9467 | |
Stephen James Smith, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 23400 Michigan Ave, Suite 405, Dearborn, MI 48124 Phone: 810-744-3600 Fax: 810-744-2597 | |
Kathleen Ransome, CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5500 Auto Club Dr Ste 350, Dearborn, MI 48126 Phone: 313-317-2000 Fax: 313-317-2090 | |
Ban Jabro, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13840 W Warren Ave, Dearborn, MI 48126 Phone: 313-581-7287 | |
Ms. Benita Jo Hutchinson, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25081 Riverdale St, Dearborn, MI 48124 Phone: 313-624-6654 Fax: 313-406-4299 |