Noel Ullery, LMSW | |
124 Tennyson St, Highland Park, MI 48203-3570 | |
(313) 455-0129 | |
Not Available |
Full Name | Noel Ullery |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 124 Tennyson St, Highland Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144837485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801107061 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6851107061 (Michigan) | Primary |
Entity Name | Fairsky Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033595665 PECOS PAC ID: 2769775386 Enrollment ID: O20160720000492 |
Mailing Address | Practice Location Address |
---|---|
Noel Ullery, LMSW 124 Tennyson St, Highland Park, MI 48203-3570 Ph: (313) 455-0129 | Noel Ullery, LMSW 124 Tennyson St, Highland Park, MI 48203-3570 Ph: (313) 455-0129 |
Chaewon Helge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Victor St, Highland Park, MI 48203 Phone: 313-252-1950 | |
Mrs. Laya A Kleinman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 245 Pitkin St, Highland Park, MI 48203 Phone: 313-867-1090 | |
Michelle Paradise, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Victor St, Highland Park, MI 48203 Phone: 313-252-1950 | |
Ms. Celica Whitley, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15004 3rd St, Highland Park, MI 48203 Phone: 313-868-8847 | |
Mr. Kurtis James Lamarr, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 211 Glendale St, Highland Park, MI 48203 Phone: 313-868-3223 | |
Jessica Fullenkamp, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Victor St, Highland Park, MI 48203 Phone: 313-252-1950 |