Ms Brenda Marie Ennis, MSW; DCSW | |
2202 Mitchell Park Dr, Suite 2b, Petoskey, MI 49770-8897 | |
(231) 487-1750 | |
(231) 487-1754 |
Full Name | Ms Brenda Marie Ennis |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 26 Years |
Location | 2202 Mitchell Park Dr, Petoskey, Michigan |
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 |
---|---|---|---|
1386972446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801085534 (Michigan) | Primary |
Entity Name | Mosaic Center For Integrative Therapy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518208008 PECOS PAC ID: 0042445645 Enrollment ID: O20131107001246 |
Mailing Address | Practice Location Address |
---|---|
Ms Brenda Marie Ennis, MSW; DCSW 2202 Mitchell Park Dr, Suite 2b, Petoskey, MI 49770-8897 Ph: (231) 487-1750 | Ms Brenda Marie Ennis, MSW; DCSW 2202 Mitchell Park Dr, Suite 2b, Petoskey, MI 49770-8897 Ph: (231) 487-1750 |
Joann Townsend, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 423 Porter St, Petoskey, MI 49770 Phone: 231-347-0067 | |
Steven Curtis Wallace, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3890 Charlevoix Rd Ste 306, Petoskey, MI 49770 Phone: 231-881-9125 | |
Ms. Jessica R Stefanski, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2390 Mitchell Park Dr, Petoskey, MI 49770 Phone: 000-000-0000 | |
Kaylee Marie Nellett, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 Michigan St, Petoskey, MI 49770 Phone: 989-751-4123 | |
Tara Riley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 616 Petoskey St, 005, Petoskey, MI 49770 Phone: 231-330-2895 | |
Sabrina Marie Spearman, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 231 State St Ste 6, Petoskey, MI 49770 Phone: 231-881-9125 Fax: 231-881-9132 | |
Christine Greenwalt Carpenter, MSW, LMSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2390 Mitchell Park Dr, Petoskey, MI 49770 Phone: 231-487-2250 |