| Mrs Amy Elizabeth Park-goeddeke, LMSW | |
|
12151 15 Mile Rd, Sterling Heights, MI 48312-5120 | |
| (248) 921-7649 | |
| Not Available |
| Full Name | Mrs Amy Elizabeth Park-goeddeke |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 12151 15 Mile Rd, Sterling Heights, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417097700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801073707 (Michigan) | Primary |
| Entity Name | Macomb Therapy Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801245972 PECOS PAC ID: 4981978418 Enrollment ID: O20170922000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amy Elizabeth Park-goeddeke, LMSW 14499 Dresden Dr, Sterling Heights, MI 48312-4341 Ph: (586) 939-1487 | Mrs Amy Elizabeth Park-goeddeke, LMSW 12151 15 Mile Rd, Sterling Heights, MI 48312-5120 Ph: (248) 921-7649 |
Monica Wallace, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38600 Van Dyke Ave Ste 101, Sterling Heights, MI 48312 Phone: 800-693-1916 | |
Danielle Lewis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8260 Denwood Dr Apt 23, Sterling Heights, MI 48312 Phone: 313-693-0291 | |
Tara Wilford, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43928 Mound Rd, Suite 100, Sterling Heights, MI 48314 Phone: 586-254-5660 | |
Stephanie Falotico, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42850 Schoenherr Rd Ste 4, Sterling Heights, MI 48313 Phone: 586-209-3929 | |
Samantha Halle Margolis, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13213 E 14 Mile Rd, Sterling Heights, MI 48312 Phone: 586-939-4374 Fax: 586-939-4783 | |
Dr. Leona Mickles-burnes, ACSW, PHD., LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2122 15 Mile Rd Ste B, Sterling Heights, MI 48310 Phone: 586-264-3692 Fax: 586-939-5953 | |
Amanda Sciacchitano, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38600 Van Dyke Ave Ste 101, Sterling Heights, MI 48312 Phone: 800-693-1916 Fax: 248-605-3525 |