Mrs Stacy M Linihan, LMSW | |
658 East Main, Centreville, MI 49032 | |
(269) 467-3228 | |
Not Available |
Full Name | Mrs Stacy M Linihan |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 658 East Main, Centreville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174600522 | NPI | - | NPPES |
1708146 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801088334 (Michigan) | Primary |
Entity Name | Covered Bridge Healthcare Of St. Joseph County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063876910 PECOS PAC ID: 6507157773 Enrollment ID: O20170602000434 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stacy M Linihan, LMSW 658 East Main, Centreville, MI 49032 Ph: (269) 467-3228 | Mrs Stacy M Linihan, LMSW 658 East Main, Centreville, MI 49032 Ph: (269) 467-3228 |
Shelly Bixler-martin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677 E Main St, Centreville, MI 49032 Phone: 269-467-1001 | |
Grae Mackenzie Miller, LLMSW,DP-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 677 E Main St, Centreville, MI 49032 Phone: 269-467-1000 | |
Mr. Thomas M Spirito, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677a East Main, Centreville, MI 49032 Phone: 269-467-1000 | |
Mrs. Elizabeth Ann O'dell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677a East Main, Centreville, MI 49032 Phone: 269-467-1000 | |
Jodi Anne Lytle, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677 E Main St Ste A, Centreville, MI 49032 Phone: 269-467-1000 Fax: 269-467-3072 | |
Mrs. Angela Nichoele Johnson, LLPC, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677a East Main, Centreville, MI 49032 Phone: 269-467-1000 |