Mrs Michelle A Korporal, BSW | |
210 N Tillotson Ave, Muncie, IN 47304-3988 | |
(765) 254-4025 | |
(765) 254-4026 |
Full Name | Mrs Michelle A Korporal |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 6 Years |
Location | 210 N Tillotson Ave, Muncie, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457858672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Indiana) | Secondary |
104100000X | Social Worker | 33009292A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Renovate Counseling Services Llc | 6103246376 | 8 |
Entity Name | Renovate Counseling Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689135279 PECOS PAC ID: 6103246376 Enrollment ID: O20201009001472 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle A Korporal, BSW 317 S Norton St, Marion, IN 46952-3296 Ph: (765) 664-0101 | Mrs Michelle A Korporal, BSW 210 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 254-4025 |
Amy Louise Huelsenbeck, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 N Tillotson Ave, Muncie, IN 47304 Phone: 866-306-2647 | |
Robert N. Coles Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1928 Fax: 765-741-0340 | |
Samantha Richards, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1200 S Tillotson Opas, Muncie, IN 47304 Phone: 765-288-1790 Fax: 765-212-3497 | |
Bethel L Mckenzie, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-8770 | |
Sheila Kathryn Lachat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1928 Fax: 765-741-0340 | |
Erin M Barnes, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3620 W White River Blvd, Muncie, IN 47304 Phone: 765-288-1928 Fax: 765-741-0335 | |
Emily A Williamson, MSW,LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3620 W White River Blvd, Muncie, IN 47304 Phone: 765-288-1928 Fax: 765-741-0335 |