Ms Kristen Joy King, LMSW | |
18223 E 10 Mile Rd Ste 100, Roseville, MI 48066-5821 | |
(586) 778-5880 | |
(586) 778-4362 |
Full Name | Ms Kristen Joy King |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 18223 E 10 Mile Rd Ste 100, Roseville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326569351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 68010444 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801090444 (Michigan) | Primary |
Entity Name | Brightside Medical Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230525002664 |
Mailing Address | Practice Location Address |
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Ms Kristen Joy King, LMSW 1223 Wellesley Rd, Madison, WI 53705-2231 Ph: () - | Ms Kristen Joy King, LMSW 18223 E 10 Mile Rd Ste 100, Roseville, MI 48066-5821 Ph: (586) 778-5880 |
Yvette Mccoy-rodgers, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 18303 E 10 Mile Rd, Roseville, MI 48066 Phone: 586-204-1576 | |
Terri Leonard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27730 Brinker St, Roseville, MI 48066 Phone: 586-204-3557 | |
Ms. Diane Gail Russell, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25869 Kelly Rd, Suite A, Roseville, MI 48066 Phone: 586-773-6020 Fax: 586-773-6093 | |
Darnisha Sharday Mackey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27085 Gratiot Ave Ste 107, Roseville, MI 48066 Phone: 586-285-5361 | |
Lamika Banks, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 27550 Groveland St, Roseville, MI 48066 Phone: 586-213-2837 | |
Mrs. Mary G. Koukios, L.M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25869 Kelly Rd Ste A, Roseville, MI 48066 Phone: 586-773-6020 Fax: 586-773-6093 |