Samone L Derks, LMSW | |
129 W Baraga Ave Ste F, Marquette, MI 49855-4761 | |
(906) 361-1386 | |
(906) 273-1650 |
Full Name | Samone L Derks |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 129 W Baraga Ave Ste F, Marquette, 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 |
---|---|---|---|
1447768056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW60781970 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | 6801102088 (Michigan) | Primary |
Entity Name | Samone Derks Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215542733 PECOS PAC ID: 9335550524 Enrollment ID: O20201118003310 |
Mailing Address | Practice Location Address |
---|---|
Samone L Derks, LMSW 129 W Baraga Ave Ste F, Marquette, MI 49855-4761 Ph: (906) 361-1386 | Samone L Derks, LMSW 129 W Baraga Ave Ste F, Marquette, MI 49855-4761 Ph: (906) 361-1386 |
Mr. Kirk W Matthews, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Marquette, MI 49855 Phone: 906-774-3300 | |
Jessica Van Overloop, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1650 State Highway M28 E, Marquette, MI 49855 Phone: 906-362-1216 | |
Ms. Jennifer Marie Di Falco Riggs, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1014 N 3rd St, Marquette, MI 49855 Phone: 906-228-8081 | |
Brian Macdevitt-dunn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Spring St, Marquette, MI 49855 Phone: 906-225-9820 | |
Kayla Marie Dennis, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 West Spring Street, Marquette, MI 49855 Phone: 906-233-1322 Fax: 906-233-1220 | |
Ms. Susan Uballe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 347 Rock St, Marquette, MI 49855 Phone: 906-228-9119 | |
Mrs. Tiffany Ann Smith, QIDP, HS-BCP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Spring St, Marquette, MI 49855 Phone: 906-233-1393 Fax: 906-786-5859 |