Mrs Celia M Polich, LMSW | |
123 E Michigan Ave # 143, Clinton, MI 49236-9998 | |
(734) 812-9057 | |
Not Available |
Full Name | Mrs Celia M Polich |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 123 E Michigan Ave # 143, Clinton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952623548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Ascension Eastwood Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396787701 PECOS PAC ID: 2163324492 Enrollment ID: O20040126000572 |
Entity Name | University Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Entity Name | Growth & Serenity Through Therapy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851045512 PECOS PAC ID: 7315386943 Enrollment ID: O20240416001981 |
Mailing Address | Practice Location Address |
---|---|
Mrs Celia M Polich, LMSW 123 E Michigan Ave # 143, Clinton, MI 49236-9998 Ph: (734) 812-9057 | Mrs Celia M Polich, LMSW 123 E Michigan Ave # 143, Clinton, MI 49236-9998 Ph: (734) 812-9057 |
Susan E Shouse, CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 208 Clark St, Clinton, MI 49236 Phone: 517-673-4476 Fax: 734-586-7328 | |
Richard Kruse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8744 Clinton Macon Rd, Clinton, MI 49236 Phone: 517-423-6779 |