Ms Stacey Michelle Mack, MSW | |
3150 Packard Rd, Ypsilanti, MI 48197-1994 | |
(734) 879-0162 | |
(734) 879-0167 |
Full Name | Ms Stacey Michelle Mack |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 3150 Packard Rd, Ypsilanti, 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 |
---|---|---|---|
1407017239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801081771 (Michigan) | Primary |
Entity Name | Intentional Counseling Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427427814 PECOS PAC ID: 0244539245 Enrollment ID: O20160426000606 |
Mailing Address | Practice Location Address |
---|---|
Ms Stacey Michelle Mack, MSW 3150 Packard Rd, Ypsilanti, MI 48197-1994 Ph: (734) 879-0162 | Ms Stacey Michelle Mack, MSW 3150 Packard Rd, Ypsilanti, MI 48197-1994 Ph: (734) 879-0162 |
Jasmin Ashakih, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2488 Golfside Rd, Ypsilanti, MI 48197 Phone: 734-709-6205 | |
Kia Sweeney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1740 Cliffs Lndg Apt 202, Ypsilanti, MI 48198 Phone: 313-485-8397 | |
Mrs. Rosalind Mackraz Dieterich, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2900 Packard Rd, Suite 1, Ypsilanti, MI 48197 Phone: 734-528-9703 Fax: 734-572-8866 | |
J'mae Ferguson, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-3050 Fax: 734-544-6732 | |
Jessica Katz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 127 N Washington St, Ypsilanti, MI 48197 Phone: 734-682-5544 | |
Alicia Jeorge Travis, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197 Phone: 734-712-3980 | |
Pamela Sue Barron, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 555 Towner, Washtenaw County, Ypsilanti, MI 48198 Phone: 734-544-3000 |