Mrs Kelly Sue Boprie, LMSW | |
1115 Ball Ave Ne, Building C, Grand Rapids, MI 49505-5904 | |
(616) 459-7215 | |
(616) 451-0020 |
Full Name | Mrs Kelly Sue Boprie |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1115 Ball Ave Ne, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023307337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801091326 (Michigan) | Primary |
Entity Name | Pine Rest Christian Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922019157 PECOS PAC ID: 4981506508 Enrollment ID: O20040123000787 |
Mailing Address | Practice Location Address |
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Mrs Kelly Sue Boprie, LMSW 1115 Ball Ave Ne, Building C, Grand Rapids, MI 49505-5904 Ph: (616) 459-7215 | Mrs Kelly Sue Boprie, LMSW 1115 Ball Ave Ne, Building C, Grand Rapids, MI 49505-5904 Ph: (616) 459-7215 |
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 | |
Michele A. Virva, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Sheldon Blvd Se, Suite 100 And 101, Grand Rapids, MI 49503 Phone: 616-391-2420 Fax: 616-391-4425 | |
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 |