Mrs Laurie Goetze, LMSW, ACSW | |
1101 Military St, Port Huron, MI 48060-5418 | |
(810) 984-5575 | |
(810) 984-6433 |
Full Name | Mrs Laurie Goetze |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1101 Military St, Port Huron, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750481289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 659832 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801058347 (Michigan) | Primary |
Entity Name | Colonial Woods Missionary Church |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033372818 PECOS PAC ID: 7810140043 Enrollment ID: O20130118000437 |
Mailing Address | Practice Location Address |
---|---|
Mrs Laurie Goetze, LMSW, ACSW 1101 Military St, Port Huron, MI 48060-5418 Ph: (810) 984-5575 | Mrs Laurie Goetze, LMSW, ACSW 1101 Military St, Port Huron, MI 48060-5418 Ph: (810) 984-5575 |
Sara M Tavora, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-984-4202 Fax: 810-984-8896 | |
Heather Stewart, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Callie Gunn, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Mr. Robert Marshall Ii, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Kristen M Azzinaro, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Mrs. Deborah Louise Kokoszka, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Ms. Erin Michelle Mcdaid, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2601 13th St, Port Huron, MI 48060 Phone: 810-987-9100 Fax: 810-987-9105 |