Ms Kenyatta Bates, LMSW | |
2222 S Linden Rd Ste J, Flint, MI 48532-5413 | |
(810) 732-0560 | |
Not Available |
Full Name | Ms Kenyatta Bates |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2222 S Linden Rd Ste J, Flint, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205108404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801093351 (Michigan) | Primary |
Entity Name | Oakland Psychological Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538356282 PECOS PAC ID: 2163315086 Enrollment ID: O20040507000830 |
Entity Name | Optum Behavioral Care Of Colorado, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851161285 PECOS PAC ID: 0941648463 Enrollment ID: O20240423001699 |
Mailing Address | Practice Location Address |
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Ms Kenyatta Bates, LMSW 2550 S Telegraph Rd Ste 250, Bloomfield Hills, MI 48302-0909 Ph: (248) 322-0003 | Ms Kenyatta Bates, LMSW 2222 S Linden Rd Ste J, Flint, MI 48532-5413 Ph: (810) 732-0560 |
Danielle S. Lied, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2830 Corunna Rd, Flint, MI 48503 Phone: 810-235-6812 | |
Chanceya Nachelle Shelton, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 529 Martin Luther King Blvd, Flint, MI 48502 Phone: 810-238-7226 Fax: 810-239-5518 | |
Mr. Ryan Christopher Ploch, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2830 Corunna Rd, Flint, MI 48503 Phone: 810-235-6812 | |
Ms. Dammiona Nicole Cromedy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Suite 108, Flint, MI 48503 Phone: 810-232-2766 | |
Mrs. Vicki Lynn Tims, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 W 5th Ave, Flint, MI 48503 Phone: 810-496-5330 Fax: 810-762-5234 | |
Kimberly Ann Campbell, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2702 Flushing Rd, Flint, MI 48504 Phone: 810-424-5998 Fax: 810-424-6347 | |
Special Enzinga-chicarra Jones, BSSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 806 Tuuri Pl, Flint, MI 48503 Phone: 810-428-6132 |